Organization
HEADWATERS COUNSELING LLC
Active
Other names
Caring Heart Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY SUNDQUIST JOSE LPC RPT-S (OWNER)
(303) 393-0085
Entity
Organization
Contact information
Practice address
899 N LOGAN ST STE 300, DENVER, CO 80203-3155
(303) 429-5099
(303) 432-6190
Mailing address
899 N LOGAN ST STE 300, DENVER, CO 80203-3155
(303) 429-5099
(303) 432-6190
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156368
—
CO
05
—
67720099
—
CO
Enumeration date
09/30/2009
Last updated
12/27/2020
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