Rocky Trails Counseling Pllc
LBN: Rocky Trails Counseling Pllc
Rocky Trails Counseling Pllc is an health care organization with primary practice located at 801 N Weber St Ste 103 , Colorado Springs CO 80903-5927. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Professional is the primary health care specialty.
Rocky Trails Counseling Pllc can be contacted via phone (719) 345-7095, or through Johnson, Jenny via phone (719) 345-7095.
Contact Information
Primary practice address
801 N Weber St Ste 103
Colorado Springs CO 80903-5927
Phone: (719) 345-7095
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1376277491 |
|---|---|
| LBN Legal business name | Rocky Trails Counseling Pllc |
| DBA Doing business as | |
| Authorized official | Johnson, Jenny MA, LPC, LAC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 14th, 2022 |
| Last updated | Jul 14th, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376277491 | NPPES |
| Colorado | MEDICAID | 9000203832 |
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