Provider Demographics
NPI:1841066396
Name:CAROLINE YATES DEFFENBAUGH COUNSELING LLC
Entity type:Organization
Organization Name:CAROLINE YATES DEFFENBAUGH COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:YATES DEFFENBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:720-239-2239
Mailing Address - Street 1:1031 DETROIT ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-3325
Mailing Address - Country:US
Mailing Address - Phone:720-239-2239
Mailing Address - Fax:
Practice Address - Street 1:110 16TH ST STE 1460
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-5202
Practice Address - Country:US
Practice Address - Phone:720-239-2239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-27
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty