Provider Demographics
NPI:1922631696
Name:EQUANIMITY COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:EQUANIMITY COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:INGRID
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCDOWELL LPC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-909-9447
Mailing Address - Street 1:2052 TURNER CT
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-2315
Mailing Address - Country:US
Mailing Address - Phone:720-909-9447
Mailing Address - Fax:
Practice Address - Street 1:6165 LEHMAN DR STE 203-6
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-3441
Practice Address - Country:US
Practice Address - Phone:720-909-9447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-20
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COLPC.0014568OtherDORA