Provider Demographics
NPI:1558805986
Name:ALL INCLUSIVE COUNSELING, INC.
Entity Type:Organization
Organization Name:ALL INCLUSIVE COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEILANI
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:CULLEN
Authorized Official - Suffix:
Authorized Official - Credentials:MA LMFT
Authorized Official - Phone:719-964-0833
Mailing Address - Street 1:680 N WIND RIVER DR
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:WY
Mailing Address - Zip Code:82633-2029
Mailing Address - Country:US
Mailing Address - Phone:719-964-0833
Mailing Address - Fax:307-624-6254
Practice Address - Street 1:203 N 6TH ST STE A
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:WY
Practice Address - Zip Code:82633-2411
Practice Address - Country:US
Practice Address - Phone:307-242-1472
Practice Address - Fax:307-624-6254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-03
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO913106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI240OtherDCCA LICENSE
CO14924323Medicaid
WY254OtherLICENSING