Provider Demographics
NPI:1811382161
Name:STAND TALL COUNSELING
Entity Type:Organization
Organization Name:STAND TALL COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:A
Authorized Official - Last Name:CARSTENS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:303-928-0554
Mailing Address - Street 1:1556 WILLIAMS STREET
Mailing Address - Street 2:UNIT 201
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218
Mailing Address - Country:US
Mailing Address - Phone:303-656-9246
Mailing Address - Fax:
Practice Address - Street 1:1556 N WILLIAMS ST
Practice Address - Street 2:UNIT 201
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1661
Practice Address - Country:US
Practice Address - Phone:303-656-9246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-03
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11497101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty