Provider Demographics
NPI:1649836149
Name:O'NEILL ENTERPRISES LTD
Entity type:Organization
Organization Name:O'NEILL ENTERPRISES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:O'NEILL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:913-558-2320
Mailing Address - Street 1:4264 RED DESERT PL
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-9212
Mailing Address - Country:US
Mailing Address - Phone:913-558-2320
Mailing Address - Fax:719-444-0253
Practice Address - Street 1:2790 N ACADEMY BLVD STE 312
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80917-5347
Practice Address - Country:US
Practice Address - Phone:719-444-0250
Practice Address - Fax:719-444-0253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-10
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty