Organization
A NEW OUTLOOK COUNSELING SERVICES, LLC
Active
Parent organization
A NEW OUTLOOK COUNSELING SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
A NEW OUTLOOK COUNSELING SERVICES, LLC
Authorized official
MR. ROBERT J. JOHNSON LAC (EXECUTIVE DIRECTOR)
(720) 837-0491
Entity
Organization
Contact information
Practice address
1745 SHEA CENTER DR., #421, HIGHLANDS RANCH, CO 80129
(720) 344-4885
(720) 344-4804
Mailing address
1745 SHEA CENTER DR, #421, HIGHLANDS RANCH, CO 80129
(720) 344-4885
(720) 344-4804
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
236
CO
302R00000X
Health Maintenance Organization
236
CO
305R00000X
Preferred Provider Organization
236
CO
305S00000X
Point of Service
236
CO
305S00000X
Point of Service
Primary
ACD236
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05735017
—
CO
Enumeration date
11/17/2011
Last updated
05/15/2017
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