Provider Demographics
NPI:1619698149
Name:STEPHANIE KONTER COUNSELING LLC
Entity Type:Organization
Organization Name:STEPHANIE KONTER COUNSELING LLC
Other - Org Name:WELLMINDED COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:DANI
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-573-7780
Mailing Address - Street 1:6343 W 120TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-3701
Mailing Address - Country:US
Mailing Address - Phone:720-380-3564
Mailing Address - Fax:
Practice Address - Street 1:5701 N FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-6913
Practice Address - Country:US
Practice Address - Phone:720-380-3564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-02
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty