Provider Demographics
NPI:1629560503
Name:LARRIMER COUNSELING
Entity Type:Organization
Organization Name:LARRIMER COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:LARRIMER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:614-403-8911
Mailing Address - Street 1:925 N HUMBOLDT ST APT 216
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-3548
Mailing Address - Country:US
Mailing Address - Phone:720-620-4814
Mailing Address - Fax:
Practice Address - Street 1:3401 QUEBEC ST STE 4500
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80207-2341
Practice Address - Country:US
Practice Address - Phone:720-260-4814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-05
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0012557101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty