Provider Demographics
NPI:1659815264
Name:ASPEN SUMMIT WELLNESS AND COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:ASPEN SUMMIT WELLNESS AND COUNSELING SERVICES LLC
Other - Org Name:ASPEN SUMMIT WELLNESS & COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LECHLEITER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, ACS
Authorized Official - Phone:720-598-2792
Mailing Address - Street 1:1603 14TH AVE APT B
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-5384
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1120 38TH AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-2578
Practice Address - Country:US
Practice Address - Phone:970-596-4405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-16
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.13273251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health