Provider Demographics
NPI:1316216310
Name:ELEOS CHRISTIAN COUNSELING SERVICES
Entity Type:Organization
Organization Name:ELEOS CHRISTIAN COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:FLORENCE
Authorized Official - Last Name:HOTALING
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:970-556-0109
Mailing Address - Street 1:2550 STOVER ST UNIT F
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-4643
Mailing Address - Country:US
Mailing Address - Phone:970-556-0109
Mailing Address - Fax:970-224-4893
Practice Address - Street 1:2550 STOVER ST UNIT F
Practice Address - Street 2:SUITE 103
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-4643
Practice Address - Country:US
Practice Address - Phone:970-556-0109
Practice Address - Fax:970-224-4893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO741251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health