Provider Demographics
NPI:1780494450
Name:POLLEMA COUNSELING CENTER, PLLC
Entity type:Organization
Organization Name:POLLEMA COUNSELING CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:POLLEMA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:224-374-3609
Mailing Address - Street 1:1668 N LAFAYETTE ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1531
Mailing Address - Country:US
Mailing Address - Phone:224-374-3609
Mailing Address - Fax:
Practice Address - Street 1:1668 N LAFAYETTE ST UNIT 2
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1531
Practice Address - Country:US
Practice Address - Phone:224-374-3609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty