Provider Demographics
NPI:1851942973
Name:MOUNTAIN VIEW COUNSELING, LLC
Entity Type:Organization
Organization Name:MOUNTAIN VIEW COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:FULLER
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:719-325-9927
Mailing Address - Street 1:4OO W. MIDLAND AVE.
Mailing Address - Street 2:PO BOX 830
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80866-0830
Mailing Address - Country:US
Mailing Address - Phone:719-325-9927
Mailing Address - Fax:719-960-2764
Practice Address - Street 1:4OO W. MIDLAND AVE.
Practice Address - Street 2:SUITE 100H
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80866-0830
Practice Address - Country:US
Practice Address - Phone:719-325-9927
Practice Address - Fax:719-960-2764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-20
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty