Provider Demographics
NPI:1609923952
Name:KOLBE KORNER, LLC
Entity Type:Organization
Organization Name:KOLBE KORNER, LLC
Other - Org Name:CARING COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:REJEANA
Authorized Official - Last Name:KOLBE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:970-532-4755
Mailing Address - Street 1:PO BOX 1258
Mailing Address - Street 2:P.O.BOX 1258
Mailing Address - City:BERTHOUD
Mailing Address - State:CO
Mailing Address - Zip Code:80513-2258
Mailing Address - Country:US
Mailing Address - Phone:970-532-4755
Mailing Address - Fax:970-532-1368
Practice Address - Street 1:5109 BEVERLY DR
Practice Address - Street 2:
Practice Address - City:BERTHOUD
Practice Address - State:CO
Practice Address - Zip Code:80513-8603
Practice Address - Country:US
Practice Address - Phone:970-532-4755
Practice Address - Fax:970-532-1368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1966101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty