Provider Demographics
NPI:1437964624
Name:VIRYA COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:VIRYA COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:M
Authorized Official - Last Name:KRUGER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:720-593-4701
Mailing Address - Street 1:2204 18TH AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-9723
Mailing Address - Country:US
Mailing Address - Phone:720-593-4701
Mailing Address - Fax:
Practice Address - Street 1:2204 18TH AVE STE 212
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-9723
Practice Address - Country:US
Practice Address - Phone:720-593-4701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty