Melbourne Counseling LLC.
Organization Active NPI Social Worker · Centennial, CO
NPI 1467907485 · NPPES record last updated Sep 21, 2023
Key facts
- NPI
- 1467907485
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Social Worker 104100000X
- Legal business name
- MELBOURNE COUNSELING LLC.
- Practice address
- 7853 E. Arapahoe CT,
Suite 3000
Centennial, CO 80112-1377 - Phone
- (720) 251-5628
- NPI assigned
- Aug 19, 2016
- Organization subpart
- No
Authorized official
- Name
- Ms. Jacqueline Ann Lane, MSW
- Title
- Owner/Psychotherapist
- Phone
- (720) 251-5628
Practitioners 1
-
Jacqueline Lane, M.S.W, L.C.S.W.
National Provider Directory
Locations
7853 E Arapahoe Ct
Ste 3000
Centennial, CO 80112
Phone (720) 251-5628
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | Yes | ||
| Clinical Social Worker |
1041C0700X |
Addresses
Primary practice location
7853 E. Arapahoe CT,
Suite 3000
Centennial, CO 80112-1377
Mailing address
7853 E. Arapahoe CT,
Suite 3000
Centennial, CO 80112-1377
Phone (720) 251-5628
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CSW09923164 | Other | CO | CSW09923164 |
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.