Provider Demographics
NPI:1780226480
Name:ASPEN COUNSELING
Entity Type:Organization
Organization Name:ASPEN COUNSELING
Other - Org Name:ELIZABETH PANGRAZZI
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:PANGRAZZI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:906-202-9444
Mailing Address - Street 1:1102 CARPENTER AVE
Mailing Address - Street 2:
Mailing Address - City:IRON MOUNTAIN
Mailing Address - State:MI
Mailing Address - Zip Code:49801-4722
Mailing Address - Country:US
Mailing Address - Phone:906-202-9444
Mailing Address - Fax:906-828-1603
Practice Address - Street 1:1102 CARPENTER AVE
Practice Address - Street 2:
Practice Address - City:IRON MOUNTAIN
Practice Address - State:MI
Practice Address - Zip Code:49801-4722
Practice Address - Country:US
Practice Address - Phone:906-202-9444
Practice Address - Fax:906-828-1603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-14
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty