=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801058037
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A NEW PERSPECTIVE COUNSELING CENTERS, P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/30/2008
-----------------------------------------------------
Last Update Date | 06/30/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2017 W EISENHOWER BLVD
-----------------------------------------------------
City | LOVELAND
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80537-3139
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-461-0978
-----------------------------------------------------
Fax | 970-461-0982
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2017 W EISENHOWER BLVD
-----------------------------------------------------
City | LOVELAND
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80537-3139
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-461-0978
-----------------------------------------------------
Fax | 970-461-0982
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PROGRAM DIRECTOR
-----------------------------------------------------
Name | ANNE R GLEDITSCH
-----------------------------------------------------
Credential | L.P.C., C.A.C. III
-----------------------------------------------------
Telephone | 970-461-0978
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number | 0687
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------