Provider Demographics
NPI:1861488223
Name:ADOLESCENT CONSULTING & TREATMENT SERVICES
Entity Type:Organization
Organization Name:ADOLESCENT CONSULTING & TREATMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:C
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC, CAC III
Authorized Official - Phone:720-272-8584
Mailing Address - Street 1:4779 W 117TH WAY
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-7844
Mailing Address - Country:US
Mailing Address - Phone:303-460-8961
Mailing Address - Fax:866-215-4405
Practice Address - Street 1:4779 W 117TH WAY
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-7844
Practice Address - Country:US
Practice Address - Phone:303-460-8961
Practice Address - Fax:866-215-4405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-21
Last Update Date:2008-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3043101YA0400X
CO1768101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty