Provider Demographics
NPI:1912269853
Name:NOETICUS ENTERPRISES
Entity Type:Organization
Organization Name:NOETICUS ENTERPRISES
Other - Org Name:NOETICUS COUNSELING CENTER AND TRAINING INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:PROF
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LMFT, RN
Authorized Official - Phone:303-399-9988
Mailing Address - Street 1:190 E 9TH AVE
Mailing Address - Street 2:SUITE #290
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2736
Mailing Address - Country:US
Mailing Address - Phone:303-399-9988
Mailing Address - Fax:303-399-9977
Practice Address - Street 1:190 E 9TH AVE
Practice Address - Street 2:SUITE #290
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2736
Practice Address - Country:US
Practice Address - Phone:303-399-9988
Practice Address - Fax:303-399-9977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20041343635251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable