Provider Demographics
NPI:1497529366
Name:CELIA MYERS COUNSELING & SUPERVISION
Entity Type:Organization
Organization Name:CELIA MYERS COUNSELING & SUPERVISION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-646-5375
Mailing Address - Street 1:PO BOX 18076
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-0076
Mailing Address - Country:US
Mailing Address - Phone:303-335-0741
Mailing Address - Fax:
Practice Address - Street 1:1541 N MARION ST UNIT 18076
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-6404
Practice Address - Country:US
Practice Address - Phone:303-335-0741
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health