Provider Demographics
NPI:1760134472
Name:TERESA COLE LPC LLC
Entity Type:Organization
Organization Name:TERESA COLE LPC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:719-600-9191
Mailing Address - Street 1:6413 WICKLOW CIR E
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-3228
Mailing Address - Country:US
Mailing Address - Phone:719-600-9191
Mailing Address - Fax:719-354-4928
Practice Address - Street 1:6290 LEHMAN DR STE 202
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1472
Practice Address - Country:US
Practice Address - Phone:719-694-8088
Practice Address - Fax:719-354-4928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-24
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty