Provider Demographics
NPI:1861946345
Name:RED COMPASS COUNSELING PLLC
Entity type:Organization
Organization Name:RED COMPASS COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JAIMEF
Authorized Official - Middle Name:RAFAEL
Authorized Official - Last Name:DAVILA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:720-340-2799
Mailing Address - Street 1:1526 HAYSTACK WAY
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-9440
Mailing Address - Country:US
Mailing Address - Phone:303-886-3917
Mailing Address - Fax:
Practice Address - Street 1:2687 NORTHPARK DR STE 103
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-3176
Practice Address - Country:US
Practice Address - Phone:720-340-2799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-12
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC0012193261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health