Healthcare Provider Details

I. General information

NPI: 1396571246
Provider Name (Legal Business Name): BATES COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3570 E 12TH AVE STE 212
DENVER CO
80206-3448
US

IV. Provider business mailing address

3570 E 12TH AVE STE 212
DENVER CO
80206-3448
US

V. Phone/Fax

Practice location:
  • Phone: 720-927-9007
  • Fax: 720-664-4754
Mailing address:
  • Phone: 720-927-9007
  • Fax: 720-664-4754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE LEIGH BATES
Title or Position: CEO
Credential: LPC
Phone: 678-908-7856