Provider Demographics
NPI:1487408902
Name:ALDERWOOD COUNSELING PLLC
Entity type:Organization
Organization Name:ALDERWOOD COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERI
Authorized Official - Middle Name:TRAHAN
Authorized Official - Last Name:KEENE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LPC
Authorized Official - Phone:409-344-1992
Mailing Address - Street 1:920 DEER MEADOW WAY
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CO
Mailing Address - Zip Code:80536-9505
Mailing Address - Country:US
Mailing Address - Phone:409-344-1992
Mailing Address - Fax:
Practice Address - Street 1:920 DEER MEADOW WAY
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CO
Practice Address - Zip Code:80536-9505
Practice Address - Country:US
Practice Address - Phone:409-344-1992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty