Provider Demographics
NPI:1184480907
Name:THE RED DOOR COUNSELING & EDUCATIONAL SERVICES
Entity type:Organization
Organization Name:THE RED DOOR COUNSELING & EDUCATIONAL SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:PARIS MACNIVEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:719-239-1928
Mailing Address - Street 1:2519 S SHIELDS ST STE 1K
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-1855
Mailing Address - Country:US
Mailing Address - Phone:812-610-1770
Mailing Address - Fax:
Practice Address - Street 1:2519 S SHIELDS ST STE 1K
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-1855
Practice Address - Country:US
Practice Address - Phone:812-610-1770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty