Provider Demographics
NPI:1881251148
Name:LIFESKILLS COUNSELING CENTRE LLC
Entity type:Organization
Organization Name:LIFESKILLS COUNSELING CENTRE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:JOE
Authorized Official - Last Name:THRUTCHLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:970-590-4635
Mailing Address - Street 1:21737 COUNTY ROAD 49
Mailing Address - Street 2:
Mailing Address - City:LA SALLE
Mailing Address - State:CO
Mailing Address - Zip Code:80645-8902
Mailing Address - Country:US
Mailing Address - Phone:970-590-4635
Mailing Address - Fax:
Practice Address - Street 1:411 MAIN ST STE 201A
Practice Address - Street 2:
Practice Address - City:FORT MORGAN
Practice Address - State:CO
Practice Address - Zip Code:80701-2136
Practice Address - Country:US
Practice Address - Phone:970-590-4635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty