Provider Demographics
NPI:1487937082
Name:RUNNING STREAM COUNSELING SERVICES, PC
Entity type:Organization
Organization Name:RUNNING STREAM COUNSELING SERVICES, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-805-1218
Mailing Address - Street 1:18425 PONY EXPRESS DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-9605
Mailing Address - Country:US
Mailing Address - Phone:303-805-1218
Mailing Address - Fax:303-805-3679
Practice Address - Street 1:308 WILCOX ST
Practice Address - Street 2:SUITE 102
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-2441
Practice Address - Country:US
Practice Address - Phone:303-805-1218
Practice Address - Fax:303-805-3679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-21
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO02656027Medicaid