Provider Demographics
NPI:1548619620
Name:BOHIQUE COUNSELING
Entity type:Organization
Organization Name:BOHIQUE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:DIANELYRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MELENDEZ RONDA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:720-298-9391
Mailing Address - Street 1:1312 17TH ST # 1344
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1508
Mailing Address - Country:US
Mailing Address - Phone:720-298-9391
Mailing Address - Fax:844-593-1511
Practice Address - Street 1:12021 PENNSYLVANIA ST STE 202
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80241-3152
Practice Address - Country:US
Practice Address - Phone:720-298-9391
Practice Address - Fax:844-593-1511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-08
Last Update Date:2024-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0011436101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1046651Medicaid
CO05561816Medicaid
CO29787521Medicaid
CO70635048Medicaid