CHARLES GEORGE DALLA (NPI# 1942446661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942446661 |
| Entity Type | Individual |
| Full Name | CHARLES GEORGE DALLA |
| Credential | LCSW |
| Practice Address |
4891 Independence St Suite 165 Wheat Ridge CO 80033-6752 |
| Practice Telephone | 3034560600 |
| Practice Fax Number | 3034560607 |
| Mailing Telephone | 3034560600 |
| Mailing Fax Number | 3034560607 |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2008-12-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
876066 | CO | Behavioral Health & Social Service Providers |
| Street Address |
4891 INDEPENDENCE ST SUITE 165 |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-6752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457432650 | Rosalie Lewin | Occupational Therapist | 4891 Independence St, # 240, Wheat Ridge, CO 80033-6752 | 2006-10-17 |
| 1932570538 | Valerie Anina Hotz Callis | Social Worker | 4891 Independence St, #165, Wheat Ridge, CO 80033-6752 | 2015-10-08 |
| 1871845347 | Melissa Hunt | Counselor | 4891 Independence St, Suite 170, Wheat Ridge, CO 80033-6752 | 2012-10-09 |
| 1306195540 | Cassidy Stover Erickson | Marriage & Family Therapist | 4891 Independence St, Suite #165, Wheat Ridge, CO 80033-6752 | 2012-09-04 |
| 1174886808 | Kori Clark | Counselor | 4891 Independence St, Wheat Ridge, CO 80033-6752 | 2012-06-18 |
| 1174889356 | Barbara Anne Bond | Counselor | 4891 Independence St, Suite #165, Wheat Ridge, CO 80033-6752 | 2012-04-02 |
| 1134363138 | Micah Michelle Guy | Social Worker | 4891 Independence St, Ste. 165, Wheat Ridge, CO 80033-6752 | 2009-04-22 |
| 1033355797 | Darin Joseph Wallis | Counselor | 4891 Independence St, Suite 165, Wheat Ridge, CO 80033-6752 | 2008-12-31 |
| 1629214325 | Maxine Louise Bettis-arnold | Counselor | 4891 Independence St, Suite 165, Wheat Ridge, CO 80033-6752 | 2008-12-30 |
| 1952547655 | Robert Charles Kelsall | Counselor | 4891 Independence St, Suite 165, Wheat Ridge, CO 80033-6752 | 2008-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1376068965 | Kaleigh Beth Davidson | Counselor | 4851 Independence St # 100, Wheat Ridge, CO 80033-6715 | 2017-08-04 |
| 1598291338 | Jordan Gorrell | Counselor | 2906 Ames St, Wheat Ridge, CO 80214-8522 | 2017-05-11 |
| 1972969616 | Moriah Campbell | Counselor | 6485 W 46th Ave, Wheat Ridge, CO 80033-3743 | 2016-01-11 |
| 1184040958 | John Lattany | Counselor | 3453 Sheridan Blvd, Wheat Ridge, CO 80212-7054 | 2014-03-17 |
| 1861817959 | John Mark Edwards | Counselor | 4445 Jay St Apt 202, Wheat Ridge, CO 80033-3795 | 2014-02-26 |
| 1992943112 | Stacey Leclair | Counselor | 3810 Pierce St, Wheat Ridge, CO 80033-4940 | 2009-01-26 |
| 1053568212 | Marjorie Ann Cohen | Counselor | 3400 Pierce St, Wheat Ridge, CO 80033-6323 | 2008-08-19 |
| 1255549226 | Sara J. Haas | Counselor | 6700 W.44th Ave., Wheat Ridge, CO 80033 | 2007-05-21 |
| 1649397118 | Lerese De La Mater | Counselor | Jefferson Center for Mental Health -70 Executive Center, 4851 Independence Street, Wheat Ridge, CO 80033-6715 | 2007-03-22 |
| Find all providers in WHEAT RIDGE | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
Please comment or provide details below to improve the information on CHARLES GEORGE DALLA.
| 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.