Provider Demographics
NPI:1578907234
Name:ALTERNATIVES, BELIEFS & CHOICES COUNSELING CENTER
Entity Type:Organization
Organization Name:ALTERNATIVES, BELIEFS & CHOICES COUNSELING CENTER
Other - Org Name:ABC COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:K
Authorized Official - Last Name:EBERHARDT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CACIII, NCC
Authorized Official - Phone:970-867-2125
Mailing Address - Street 1:607 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:FORT MORGAN
Mailing Address - State:CO
Mailing Address - Zip Code:80701-2544
Mailing Address - Country:US
Mailing Address - Phone:970-867-2125
Mailing Address - Fax:970-867-4495
Practice Address - Street 1:607 MAPLE ST
Practice Address - Street 2:
Practice Address - City:FORT MORGAN
Practice Address - State:CO
Practice Address - Zip Code:80701-2544
Practice Address - Country:US
Practice Address - Phone:970-867-2125
Practice Address - Fax:970-867-4495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-24
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACC4259101YA0400X
CO2936251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty