Provider Demographics
NPI:1760001416
Name:BEHAVIORAL HEALTH CONSULTANTS, INC.
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:GRABILL
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC, LAC
Authorized Official - Phone:719-330-2258
Mailing Address - Street 1:3220 N ACADEMY BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80917-5115
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:309 JERRY ST STE 108
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-2442
Practice Address - Country:US
Practice Address - Phone:719-888-9655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEHAVIORAL HEALTH CONSULTANTS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-13
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000169297Medicaid