Provider Demographics
NPI:1437516762
Name:VCCD LLC
Entity Type:Organization
Organization Name:VCCD LLC
Other - Org Name:THRIVEWORKS COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR & CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAY
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:SLOVICK
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:720-688-5515
Mailing Address - Street 1:9200 W CROSS DR STE 225
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-0700
Mailing Address - Country:US
Mailing Address - Phone:720-688-5515
Mailing Address - Fax:617-379-0496
Practice Address - Street 1:9200 W CROSS DR
Practice Address - Street 2:SUITE 225
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123
Practice Address - Country:US
Practice Address - Phone:720-358-3864
Practice Address - Fax:720-862-2086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-18
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty