Provider Demographics
NPI:1548808033
Name:CHRISTINE HOLMFELT LCSW
Entity type:Organization
Organization Name:CHRISTINE HOLMFELT LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:HOLMFELT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:970-697-4831
Mailing Address - Street 1:PO BOX 3652
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81502-3652
Mailing Address - Country:US
Mailing Address - Phone:970-697-4831
Mailing Address - Fax:970-549-0017
Practice Address - Street 1:1211 COLORADO AVE
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-4630
Practice Address - Country:US
Practice Address - Phone:970-697-4831
Practice Address - Fax:970-549-0017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-15
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty