Provider Demographics
NPI:1821819236
Name:KINDRED COUNSELING, PLLC
Entity type:Organization
Organization Name:KINDRED COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MA, LPC
Authorized Official - Prefix:
Authorized Official - First Name:BRITTNI
Authorized Official - Middle Name:
Authorized Official - Last Name:FUDGE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:303-868-4207
Mailing Address - Street 1:8883 E 50TH DR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-3758
Mailing Address - Country:US
Mailing Address - Phone:303-868-4207
Mailing Address - Fax:
Practice Address - Street 1:2011 DALLAS STREET
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80010
Practice Address - Country:US
Practice Address - Phone:303-868-4207
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)