# PREMIER COUNSELING CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639406663
- **Authorized official:** STACIE BRYANT LMFT (PRESIDENT)
- **Authorized official phone:** (719) 388-0194

## Contact information

- **Practice address:** 3920 N UNION BLVD, SUITE 370, COLORADO SPRINGS, CO 80907-4900
- **Practice address phone:** (719) 388-0194
- **Practice address fax:** (719) 522-1168
- **Mailing address:** PO BOX 63312, COLORADO SPRINGS, CO 80962-3312
- **Mailing address phone:** (719) 388-0194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFT893 | CO | Yes |

## Other

- **Enumeration date:** 11/12/2009
- **Last updated:** 04/22/2010
