Provider Demographics
NPI:1326288994
Name:ASPEN COUNSELING & CONSULTING LLC
Entity Type:Organization
Organization Name:ASPEN COUNSELING & CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:W
Authorized Official - Last Name:EATON
Authorized Official - Suffix:
Authorized Official - Credentials:MASTERS OF SCIENCE
Authorized Official - Phone:815-391-1000
Mailing Address - Street 1:8616 NORTHERN AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61107-5309
Mailing Address - Country:US
Mailing Address - Phone:815-399-9700
Mailing Address - Fax:815-394-1401
Practice Address - Street 1:1021 N MULFORD RD
Practice Address - Street 2:L1
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-3877
Practice Address - Country:US
Practice Address - Phone:815-399-9700
Practice Address - Fax:815-394-1401
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROSECRANCE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-02-23
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health