Provider Demographics
NPI:1881375806
Name:WONDERLAND WAY COUNSELING, LLC
Entity type:Organization
Organization Name:WONDERLAND WAY COUNSELING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:JANELLE
Authorized Official - Last Name:BATTISTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-201-8626
Mailing Address - Street 1:15350 W 77TH DR
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80007-7112
Mailing Address - Country:US
Mailing Address - Phone:720-201-8626
Mailing Address - Fax:
Practice Address - Street 1:706 WILLOW DR
Practice Address - Street 2:
Practice Address - City:LOCHBUIE
Practice Address - State:CO
Practice Address - Zip Code:80603-7725
Practice Address - Country:US
Practice Address - Phone:720-201-8626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty