Provider Demographics
NPI:1750841656
Name:TRAILHEAD CHRISTIAN COUNSELING
Entity type:Organization
Organization Name:TRAILHEAD CHRISTIAN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:KAIL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, LCPC
Authorized Official - Phone:970-510-5851
Mailing Address - Street 1:817 COLORADO AVE # 200
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601-3349
Mailing Address - Country:US
Mailing Address - Phone:970-510-5851
Mailing Address - Fax:
Practice Address - Street 1:817 COLORADO AVE # 200
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-3349
Practice Address - Country:US
Practice Address - Phone:970-510-5851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-25
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty