Provider Demographics
NPI:1326490756
Name:GRAND VALLEY COUNSELING LLC
Entity Type:Organization
Organization Name:GRAND VALLEY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:970-812-3150
Mailing Address - Street 1:135 N 8TH ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-3316
Mailing Address - Country:US
Mailing Address - Phone:970-623-7766
Mailing Address - Fax:970-549-3495
Practice Address - Street 1:135 N 8TH ST UNIT B
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-3316
Practice Address - Country:US
Practice Address - Phone:970-623-7766
Practice Address - Fax:970-549-3495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-10
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty