FRESH WATER COUNSELING, LLC (NPI# 1407499379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407499379 |
| Entity Type | Organization |
| Organization Name | FRESH WATER COUNSELING, LLC |
| Practice Address |
3230 E Woodmen Rd Ste 110a Colorado Springs CO 80920-8502 |
| Mailing Address |
5390 Balsam St Colo Spgs CO 80923-5104 |
| Practice Telephone | 7193019532 |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |
| Authorized Official Name | JOHN FAVARA (OWNER) |
| Authorized Official Telephone | 3038957874 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | FRESH WATER COUNSELING, LLC | 852 Sw 15th St, Redmond, OR 97756 |
| Street Address |
3230 E WOODMEN RD STE 110A |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920-8502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560345 | Meliora Therapy and Consulting LLC | Clinic/Center | 3230 E Woodmen Rd Ste 110a, Colorado Springs, CO 80920-8502 | 2020-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
| 1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
| 1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
| 1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
| 1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
| 1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
| Find all providers in zip 80920 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811904 | Cassondra Tina Marie Chagnon | Counselor | 6315 Council Pt Apt 204, Colorado Springs, CO 80923-5136 | 2020-11-05 |
| 1437759073 | Haley Marie Rosario | Counselor | 6535 Sam Houston Loop Apt D, Colorado Springs, CO 80902-4723 | 2020-10-30 |
| 1043819204 | Whitney Moore | Counselor | 5360 N Academy Blvd Ste 100, Colorado Springs, CO 80918-4006 | 2020-10-20 |
| 1013516392 | Step Forward Counseling Services | Counselor | 4145 Sudbury Rd, Colorado Springs, CO 80908-1336 | 2020-10-19 |
| 1306444393 | Anthonie Arend Van Zoeren | Counselor | 1257 Lake Plaza Dr Ste 200, Colorado Springs, CO 80906-3561 | 2020-10-13 |
| 1093321804 | Michelle Vela | Counselor | 8444 Grand Peak Summit Vw, Colorado Springs, CO 80920-7158 | 2020-09-17 |
| 1588279699 | Play 4 Healing Pllc | Counselor | 13550 Northgate Estates Drive, Colorado Springs, CO 80921 | 2020-09-15 |
| 1811501620 | Cheyenne Mountain Therapy, LLC | Counselor | 1767 S 8th St Ste 120, Colorado Springs, CO 80905-1972 | 2020-08-31 |
| 1437762838 | Tanya Davie | Counselor | 3110 Hudson St, Colorado Springs, CO 80910-2943 | 2020-08-25 |
| 1780296657 | Yhatisse Michelle Reynolds- Jones | Counselor | 6942 Bitterroot Dr, Colorado Springs, CO 80923-7328 | 2020-08-20 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
Please comment or provide details below to improve the information on FRESH WATER COUNSELING, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.