Provider Demographics
NPI:1629722558
Name:OAK AND ASPEN COUNSELING, PLLC
Entity Type:Organization
Organization Name:OAK AND ASPEN COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BELONICK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:914-274-1152
Mailing Address - Street 1:8800 W 116TH CIR UNIT 7622
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-2783
Mailing Address - Country:US
Mailing Address - Phone:970-703-5746
Mailing Address - Fax:
Practice Address - Street 1:350 BROADWAY ST STE 210
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80305-3338
Practice Address - Country:US
Practice Address - Phone:970-703-5746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty