Provider Demographics
NPI:1639614092
Name:INTO THE WOODS COUNSELING, INC.
Entity Type:Organization
Organization Name:INTO THE WOODS COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:SEARCEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:720-585-5110
Mailing Address - Street 1:1235 N. LOGAN ST.
Mailing Address - Street 2:APT. 302
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2464
Mailing Address - Country:US
Mailing Address - Phone:720-585-5110
Mailing Address - Fax:
Practice Address - Street 1:7009 S. POTOMAC ST.
Practice Address - Street 2:SUITE 102
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-4034
Practice Address - Country:US
Practice Address - Phone:720-213-6180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-21
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0012993101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1073962429OtherPROVIDER NPI