Provider Demographics
NPI:1669866471
Name:FAMILY LINKS COUNSELING, LLC
Entity Type:Organization
Organization Name:FAMILY LINKS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:G
Authorized Official - Last Name:WEHRMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD; LMFT; LPC
Authorized Official - Phone:303-747-6306
Mailing Address - Street 1:5285 W LOUISIANA AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-5938
Mailing Address - Country:US
Mailing Address - Phone:303-747-6306
Mailing Address - Fax:
Practice Address - Street 1:5285 W LOUISIANA AVE STE 102
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-5938
Practice Address - Country:US
Practice Address - Phone:303-747-6306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-19
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4845101Y00000X
CO868106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1114357258OtherNPI
CO63439379Medicaid