Provider Demographics
NPI:1174126882
Name:COLLABORATIVE INSIGHT COUNSELING LLC
Entity type:Organization
Organization Name:COLLABORATIVE INSIGHT COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRADINO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:303-881-2936
Mailing Address - Street 1:115 WILCOX ST STE 220
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-2049
Mailing Address - Country:US
Mailing Address - Phone:303-881-2936
Mailing Address - Fax:
Practice Address - Street 1:115 WILCOX ST STE 220
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-2049
Practice Address - Country:US
Practice Address - Phone:303-881-2936
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-17
Last Update Date:2023-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health