Organization
COLORADO CENTER FOR COUNSELING AND PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PHYLLIS TAINEY LCSW, CAC III (OWNER)
(303) 776-6376
Entity
Organization
Contact information
Practice address
1479 LINCOLN CIR, LONGMONT, CO 80501-1879
(303) 776-6376
Mailing address
1479 LINCOLN CIR, LONGMONT, CO 80501-1879
(303) 776-6376
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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