Provider Demographics
NPI:1912160292
Name:STRESS MANAGEMENT FAMILY COUNSELING CENTER, LLP
Entity Type:Organization
Organization Name:STRESS MANAGEMENT FAMILY COUNSELING CENTER, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARVAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-223-2256
Mailing Address - Street 1:300 BOARDWALK DR
Mailing Address - Street 2:UNIT 5A
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-3070
Mailing Address - Country:US
Mailing Address - Phone:970-223-2256
Mailing Address - Fax:970-223-2324
Practice Address - Street 1:300 BOARDWALK DR
Practice Address - Street 2:UNIT 5A
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3070
Practice Address - Country:US
Practice Address - Phone:970-223-2256
Practice Address - Fax:970-223-2324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty