Healthcare Provider Details

I. General information

NPI: 1841757481
Provider Name (Legal Business Name): THORNHILL COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2019
Last Update Date: 03/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 LINCOLN AVE # 200
STEAMBOAT SPRINGS CO
80487-4972
US

IV. Provider business mailing address

PO BOX 77017
STEAMBOAT SPRINGS CO
80477
US

V. Phone/Fax

Practice location:
  • Phone: 970-879-7637
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CRAIG RANDALL THORNHILL
Title or Position: OWNER
Credential: LPC, LAC
Phone: 970-879-7637