Provider Demographics
NPI:1619370343
Name:OPEN DOORWAYS COUNSELING, LLC
Entity Type:Organization
Organization Name:OPEN DOORWAYS COUNSELING, LLC
Other - Org Name:GENESIS OUTPATIENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:M
Authorized Official - Last Name:VONDERHARR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:719-632-3510
Mailing Address - Street 1:685 CITADEL DR E STE 312
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-5316
Mailing Address - Country:US
Mailing Address - Phone:719-632-3510
Mailing Address - Fax:719-632-3534
Practice Address - Street 1:685 CITADEL DR E STE 312
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-5316
Practice Address - Country:US
Practice Address - Phone:719-632-3510
Practice Address - Fax:719-632-3534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-08
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1728-01251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health