Provider Demographics
NPI:1578924791
Name:FOUR DIRECTIONS COUNSELING LLC
Entity Type:Organization
Organization Name:FOUR DIRECTIONS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAGGART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-446-8933
Mailing Address - Street 1:3233 E HARVARD AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5505
Mailing Address - Country:US
Mailing Address - Phone:720-446-8933
Mailing Address - Fax:
Practice Address - Street 1:3233 E HARVARD AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5505
Practice Address - Country:US
Practice Address - Phone:720-446-8933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC.0104764101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty