Provider Demographics
NPI:1629326194
Name:NEW DIRECTIONS COUNSELING CENTER IN
Entity Type:Organization
Organization Name:NEW DIRECTIONS COUNSELING CENTER IN
Other - Org Name:NEW DIRECTIONS COUNSELING CENTER INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDI
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA LMFT CAC LLL
Authorized Official - Phone:720-201-6230
Mailing Address - Street 1:16 MOUNTAIN VIEW AVE #109
Mailing Address - Street 2:
Mailing Address - City:LONGMONTH
Mailing Address - State:CO
Mailing Address - Zip Code:80501
Mailing Address - Country:US
Mailing Address - Phone:720-201-6230
Mailing Address - Fax:937-734-4343
Practice Address - Street 1:420 21ST AVE #112
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-3420
Practice Address - Country:US
Practice Address - Phone:720-201-6230
Practice Address - Fax:303-682-9474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-15
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO470101YM0800X
261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty