Provider Demographics
NPI:1891818209
Name:SOUTHWEST COUNSELING ASSOCIATES
Entity Type:Organization
Organization Name:SOUTHWEST COUNSELING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:FEIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-730-1717
Mailing Address - Street 1:141 W DAVIES AVE N
Mailing Address - Street 2:STE 105
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-5211
Mailing Address - Country:US
Mailing Address - Phone:303-730-1717
Mailing Address - Fax:303-730-1531
Practice Address - Street 1:141 W DAVIES AVE N
Practice Address - Street 2:STE 105
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120
Practice Address - Country:US
Practice Address - Phone:303-730-1717
Practice Address - Fax:303-730-1531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCA3706Medicare PIN