Provider Demographics
NPI:1518379254
Name:HAROLD W. ANDERSON LLC
Entity Type:Organization
Organization Name:HAROLD W. ANDERSON LLC
Other - Org Name:A WINDOW OF HOPE COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:970-380-1160
Mailing Address - Street 1:324 E RAILROAD AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:FORT MORGAN
Mailing Address - State:CO
Mailing Address - Zip Code:80701-3145
Mailing Address - Country:US
Mailing Address - Phone:970-380-1160
Mailing Address - Fax:970-867-0524
Practice Address - Street 1:324 E RAILROAD AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:FORT MORGAN
Practice Address - State:CO
Practice Address - Zip Code:80701-3145
Practice Address - Country:US
Practice Address - Phone:970-380-1160
Practice Address - Fax:970-867-0524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-29
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFT 921251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health