Provider Demographics
NPI:1942059894
Name:NIKAOS COUNSELING COLORADO, PLLC
Entity type:Organization
Organization Name:NIKAOS COUNSELING COLORADO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:SENGER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:720-982-7057
Mailing Address - Street 1:PO BOX 9212
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81008-9212
Mailing Address - Country:US
Mailing Address - Phone:720-982-7057
Mailing Address - Fax:719-717-4639
Practice Address - Street 1:999 FORTINO BLVD LOT 149
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81008-2007
Practice Address - Country:US
Practice Address - Phone:720-982-7057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty