Provider Demographics
NPI:1841858719
Name:NORTH FAMILY COUNSELING, P.C.
Entity type:Organization
Organization Name:NORTH FAMILY COUNSELING, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIEGENHAGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-338-3329
Mailing Address - Street 1:7680 GODDARD ST STE 120
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-8233
Mailing Address - Country:US
Mailing Address - Phone:719-313-5846
Mailing Address - Fax:
Practice Address - Street 1:7680 GODDARD ST STE 120
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-8233
Practice Address - Country:US
Practice Address - Phone:719-313-5846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-04
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health