Phase Two Counseling Service

LBN: Phase Two Counseling Service
Phase Two Counseling Service is an health care organization with primary practice located at 2019 E Bijou St Suite #1, Colorado Springs CO 80909-5818. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. Phase Two Counseling Service can be contacted via phone (719) 473-1805, or through Jones-Dudley, Margie R. via phone (719) 473-1805.

Contact Information

Primary practice address
2019 E Bijou St Suite #1 Colorado Springs CO 80909-5818
Phone: (719) 473-1805
Fax: (719) 302-5324
Website:
Map and Directions
Authorized official contact:
Name: Jones-Dudley, Margie R. MA CCBT, CAC III
Phone: (719) 473-1805

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6148

Profile Details

NPI number 1447519053
LBN Legal business name Phase Two Counseling Service
DBA Doing business as
Authorized official Jones-Dudley, Margie R. MA CCBT, CAC III
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2012
Last updated May 16th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447519053 NPPES
Colorado MEDICAID 141948

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