Provider Demographics
NPI:1861657967
Name:MANN COUNSELING GROUP, P.C.
Entity Type:Organization
Organization Name:MANN COUNSELING GROUP, P.C.
Other - Org Name:MCDONALD FAMILY COUNSELING, P.C.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:MANN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LCSW
Authorized Official - Phone:303-881-0854
Mailing Address - Street 1:7139 S HUDSON CIR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2541
Mailing Address - Country:US
Mailing Address - Phone:303-881-0854
Mailing Address - Fax:303-200-8092
Practice Address - Street 1:7860 E BERRY PL
Practice Address - Street 2:SUITE 120
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2321
Practice Address - Country:US
Practice Address - Phone:303-881-0854
Practice Address - Fax:303-200-8092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-28
Last Update Date:2012-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9925611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO992561OtherLICENSE IN CLINICAL SOCIAL WORK, STATE LICENSE NUMBER