Organization · NPI-2
Aspen Counseling Group, LLC
Counselor, Mental Health · Longmont, CO
NPI number1164269254
StatusActive
Last updated in NPPESJul 15, 2024
Details
- NPI
- 1164269254
- Entity type
- Organization (NPI-2)
- Legal business name
- Aspen Counseling Group, LLC
- Organization subpart
- No
- Enumeration date
- Jul 15, 2024
- Certification date
- Jul 15, 2024
- Last updated
- Jul 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Other names
- Aspen Mental Health Group (Doing Business As)
Practice location
636 Coffman St Ste 203Longmont, CO 80501-4974
Phone 303-834-7389
Mailing address
636 Coffman St Ste 203Longmont, CO 80501-4974
Phone 303-834-7389
Authorized official
Danelle Rottner
Clinical Director, Therapist
7205418806
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