Healthcare Provider Details

I. General information

NPI: 1073313029
Provider Name (Legal Business Name): COUNSELING CONNECTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 S LENA ST UNIT A
RIDGWAY CO
81432-8974
US

IV. Provider business mailing address

35 S SELIG AVE
MONTROSE CO
81401-3654
US

V. Phone/Fax

Practice location:
  • Phone: 970-318-8189
  • Fax:
Mailing address:
  • Phone: 970-318-8189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ANGELA BEAN
Title or Position: OWNER
Credential:
Phone: 970-318-8189