Provider Demographics
NPI:1821469008
Name:EQUALITY COUNSELING, LLC
Entity Type:Organization
Organization Name:EQUALITY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED ADDICTION COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CRAM
Authorized Official - Suffix:
Authorized Official - Credentials:CAC III
Authorized Official - Phone:720-505-6403
Mailing Address - Street 1:PO BOX 390591
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-1591
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12101 E 2ND AVE
Practice Address - Street 2:SUITE 100-A
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-8327
Practice Address - Country:US
Practice Address - Phone:720-505-6403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-13
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health