Provider Demographics
NPI:1689084329
Name:PRUCHA COUNSELING LLC
Entity Type:Organization
Organization Name:PRUCHA COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PRUCHA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:303-901-2745
Mailing Address - Street 1:1374 SAINT PAUL ST
Mailing Address - Street 2:APT. 5
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-2543
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9220 TEDDY LN
Practice Address - Street 2:SUITE. 1400
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-6740
Practice Address - Country:US
Practice Address - Phone:303-901-2745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-03
Last Update Date:2014-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC. 0011889251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health