Healthcare Provider Details

I. General information

NPI: 1306674551
Provider Name (Legal Business Name): CO COUNSELING GROUP,, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 07/22/2024
Certification Date: 07/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10138 TRIBOROUGH TRL
PEYTON CO
80831-7155
US

IV. Provider business mailing address

225 S BROADWAY #9950, SMB #0949
DENVER CO
80209-1665
US

V. Phone/Fax

Practice location:
  • Phone: 844-988-1830
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: BRANDON PLUNKETT
Title or Position: MEMBER
Credential:
Phone: 844-988-1830