Provider Demographics
NPI:1831750157
Name:MIRADOR COUNSELING, LLC
Entity type:Organization
Organization Name:MIRADOR COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MURO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:720-551-4269
Mailing Address - Street 1:6279 W 38TH AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-5068
Mailing Address - Country:US
Mailing Address - Phone:720-551-4269
Mailing Address - Fax:
Practice Address - Street 1:6279 W 38TH AVE STE 8
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-5068
Practice Address - Country:US
Practice Address - Phone:720-551-4269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-26
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000156366Medicaid
CO9000176365Medicaid