Provider Demographics
NPI:1407267628
Name:A & S COUNSELING
Entity Type:Organization
Organization Name:A & S COUNSELING
Other - Org Name:A & S COUNSELING, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNWER/THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:WALLS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:970-824-5552
Mailing Address - Street 1:401 RUSSELL ST
Mailing Address - Street 2:
Mailing Address - City:CRAIG
Mailing Address - State:CO
Mailing Address - Zip Code:81625-1938
Mailing Address - Country:US
Mailing Address - Phone:970-824-5552
Mailing Address - Fax:970-824-5555
Practice Address - Street 1:401 RUSSELL STREET
Practice Address - Street 2:
Practice Address - City:CRAIG
Practice Address - State:CO
Practice Address - Zip Code:81625
Practice Address - Country:US
Practice Address - Phone:970-824-5552
Practice Address - Fax:970-824-5555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-09
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0011745101YP2500X
CO0000000177104100000X
CO9919781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty