Provider Demographics
NPI:1407236938
Name:ACACIA COUNSELING, INC.
Entity Type:Organization
Organization Name:ACACIA COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LAC, LPC
Authorized Official - Phone:303-861-9378
Mailing Address - Street 1:1600 N DOWNING ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1573
Mailing Address - Country:US
Mailing Address - Phone:303-861-9378
Mailing Address - Fax:303-860-1538
Practice Address - Street 1:1600 N DOWNING ST
Practice Address - Street 2:SUITE 300
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1573
Practice Address - Country:US
Practice Address - Phone:303-861-9378
Practice Address - Fax:303-860-1538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-29
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO131500251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health