Provider Demographics
NPI:1770161242
Name:COUCH TIME COUNSELING AND CONSULTING
Entity type:Organization
Organization Name:COUCH TIME COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENDAL
Authorized Official - Middle Name:WELLINGTON
Authorized Official - Last Name:HUMES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LAC, LIAC
Authorized Official - Phone:719-582-4362
Mailing Address - Street 1:1022 FORTINO BLVD
Mailing Address - Street 2:PO BOX 8628
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81008
Mailing Address - Country:US
Mailing Address - Phone:719-582-4362
Mailing Address - Fax:
Practice Address - Street 1:226 1/2 S UNION AVE UNIT 210
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81003-3557
Practice Address - Country:US
Practice Address - Phone:719-582-4362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-29
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty