Eagle Valley Counseling LLC

Organization Active NPI Community/Behavioral Health Agency · Edwards, CO

NPI 1306004585 · NPPES record last updated May 24, 2008

Key facts

NPI
1306004585
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
1803 (CO)
Legal business name
EAGLE VALLEY COUNSELING LLC
Practice address
275 Main St
Suite 208
Edwards, CO 81632-7805
Phone
(970) 926-8196
Fax
(970) 926-8438
NPI assigned
May 24, 2008
Organization subpart
No

Authorized official

Name
Mr. Michael John Gahagan, LPC, CACIII, ADVP
Title
Owner/Director
Phone
(970) 926-8196

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1803 CO Yes

Addresses

Primary practice location

275 Main St
Suite 208
Edwards, CO 81632-7805

Mailing address

275 Main St
Suite 208
Edwards, CO 81632-7805
Phone (970) 926-8196

Other providers in Edwards, CO

All providers in Edwards, CO · Community/Behavioral Health Agency in Colorado

Sources for this page

Verify at the official NPI Registry.