Provider Demographics
NPI:1326765439
Name:THERAPY AND COUNSELING FOR WOMEN LLC
Entity Type:Organization
Organization Name:THERAPY AND COUNSELING FOR WOMEN LLC
Other - Org Name:COLORADO WOMEN'S CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER / CEO
Authorized Official - Prefix:
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:303-350-9361
Mailing Address - Street 1:1500 28TH ST
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-1002
Mailing Address - Country:US
Mailing Address - Phone:720-810-2355
Mailing Address - Fax:720-502-3150
Practice Address - Street 1:1220 S COLLEGE AVE STE 200
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-3787
Practice Address - Country:US
Practice Address - Phone:720-810-2355
Practice Address - Fax:720-502-3150
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THERAPY AND COUNSELING FOR WOMEN LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty