Provider Demographics
NPI:1659436376
Name:ALL AGE COUNSELING INC
Entity Type:Organization
Organization Name:ALL AGE COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JANE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BILETT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, FICPP
Authorized Official - Phone:303-435-5522
Mailing Address - Street 1:1011 S VALENTIA ST
Mailing Address - Street 2:UNIT 150
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-6817
Mailing Address - Country:US
Mailing Address - Phone:303-435-5522
Mailing Address - Fax:303-745-5565
Practice Address - Street 1:1011 S VALENTIA ST
Practice Address - Street 2:VILLA #150
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-6812
Practice Address - Country:US
Practice Address - Phone:303-435-5522
Practice Address - Fax:303-745-5565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO489103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1659436376Medicare UPIN