Provider Demographics
NPI:1750973954
Name:SYNERGY COUNSELING INC.
Entity type:Organization
Organization Name:SYNERGY COUNSELING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CAC II
Authorized Official - Phone:970-232-5122
Mailing Address - Street 1:PO BOX 2362
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80539-2362
Mailing Address - Country:US
Mailing Address - Phone:970-232-5122
Mailing Address - Fax:
Practice Address - Street 1:3977 CRAWFORD CT
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-5595
Practice Address - Country:US
Practice Address - Phone:970-232-5122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1669939187OtherNPI