Provider Demographics
NPI:1841712080
Name:WOODLAND COUNSELING CENTER
Entity type:Organization
Organization Name:WOODLAND COUNSELING CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:ANDERSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFT
Authorized Official - Phone:719-360-0802
Mailing Address - Street 1:1067 E US HIGHWAY 24 # 231
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80863-2120
Mailing Address - Country:US
Mailing Address - Phone:719-360-0802
Mailing Address - Fax:719-687-4801
Practice Address - Street 1:1250 KAREN LN
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80863-2455
Practice Address - Country:US
Practice Address - Phone:719-360-0802
Practice Address - Fax:719-687-4801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-10
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty