Healthcare Provider Details

I. General information

NPI: 1831583673
Provider Name (Legal Business Name): ROCKY MOUNTAIN CHRISTIAN COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2015
Last Update Date: 03/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1777 S HARRISON ST
DENVER CO
80210-3925
US

IV. Provider business mailing address

3776 S CHASE ST
DENVER CO
80235-2954
US

V. Phone/Fax

Practice location:
  • Phone: 720-254-0951
  • Fax:
Mailing address:
  • Phone: 720-254-0951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number0718
License Number StateCO

VIII. Authorized Official

Name: DR. THOMAS HOUSTON
Title or Position: OWNER - SOLE MEMBER
Credential: D.MIN.
Phone: 720-254-0951