# PHASE TWO COUNSELING SERVICE

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

## Provider details

- **NPI number:** 1679896088
- **Authorized official:** MRS. MARGIE R JONES-DUDLEY MA (SOLE OWNER)
- **Authorized official phone:** (719) 473-1805

## Contact information

- **Practice address:** 833 E PLATTE AVE, L-3, COLORADO SPRINGS, CO 80903-5512
- **Practice address phone:** (719) 473-1805
- **Practice address fax:** (719) 302-5324
- **Mailing address:** 833 E PLATTE AVE, L-3, COLORADO SPRINGS, CO 80903-5512
- **Mailing address phone:** (719) 473-1805
- **Mailing address fax:** (719) 302-5324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 6148 | CO | Yes |

## Other

- **Enumeration date:** 03/12/2010
- **Last updated:** 03/12/2010