Provider Demographics
NPI:1598394512
Name:TELEHELP WITH CHARLOTTE
Entity Type:Organization
Organization Name:TELEHELP WITH CHARLOTTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:STAPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:480-217-7167
Mailing Address - Street 1:322 N ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:FRUITA
Mailing Address - State:CO
Mailing Address - Zip Code:81521-2325
Mailing Address - Country:US
Mailing Address - Phone:480-217-7167
Mailing Address - Fax:
Practice Address - Street 1:322 N ORCHARD ST
Practice Address - Street 2:
Practice Address - City:FRUITA
Practice Address - State:CO
Practice Address - Zip Code:81521-2325
Practice Address - Country:US
Practice Address - Phone:480-217-7167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health