Healthcare Provider Details

I. General information

NPI: 1538999826
Provider Name (Legal Business Name): SHIFT COUNSELING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2024
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1170 COLORADO AVE
GRAND JUNCTION CO
81501-3523
US

IV. Provider business mailing address

1170 COLORADO AVE
GRAND JUNCTION CO
81501-3523
US

V. Phone/Fax

Practice location:
  • Phone: 970-241-2948
  • Fax:
Mailing address:
  • Phone: 970-241-2948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM EDWARD WIMSATT JR.
Title or Position: OWNER
Credential:
Phone: 970-241-2948