Provider Demographics
NPI:1972255990
Name:ANIMAS VALLEY COUNSELING, LLC
Entity Type:Organization
Organization Name:ANIMAS VALLEY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARI
Authorized Official - Middle Name:
Authorized Official - Last Name:PERCE
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:970-764-7472
Mailing Address - Street 1:250 SUNSET LN
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-8385
Mailing Address - Country:US
Mailing Address - Phone:970-400-1038
Mailing Address - Fax:
Practice Address - Street 1:1911 MAIN AVE STE 234
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-5077
Practice Address - Country:US
Practice Address - Phone:970-400-1038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-20
Last Update Date:2022-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty