Provider Demographics
NPI:1346916871
Name:CREDENCE COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:CREDENCE COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:D
Authorized Official - Last Name:AUBERT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:970-270-1720
Mailing Address - Street 1:2674 CAMBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-1868
Mailing Address - Country:US
Mailing Address - Phone:970-270-1720
Mailing Address - Fax:
Practice Address - Street 1:2350 G RD STE 2
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-2302
Practice Address - Country:US
Practice Address - Phone:970-270-1720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty