Provider Demographics
NPI:1003498270
Name:FIELD OF VISION COUNSELING
Entity type:Organization
Organization Name:FIELD OF VISION COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARLON
Authorized Official - Middle Name:MARTELL
Authorized Official - Last Name:SANGO
Authorized Official - Suffix:
Authorized Official - Credentials:CAS
Authorized Official - Phone:720-668-6482
Mailing Address - Street 1:1177 N GRANT ST STE 308
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2362
Mailing Address - Country:US
Mailing Address - Phone:720-668-6482
Mailing Address - Fax:
Practice Address - Street 1:1177 N GRANT ST STE 308
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2362
Practice Address - Country:US
Practice Address - Phone:720-668-6482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-26
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty