Phase Two Counseling Service, LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6148 Issued in CO

Legal business name

PHASE TWO COUNSELING SERVICE, LLC

Practice address

2019 E Bijou St
Colorado Springs, CO 80909-5818

Phone

(719) 473-1805

Fax

(719) 302-5324

NPI assigned

Jul 27, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Margie Jones-Dudley, PH.D.

Title

Owner

Phone

(719) 473-1805

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1699228528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 E BIJOU ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095818",
            "telephone_number": "719-473-1805",
            "fax_number": "719-302-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 E BIJOU ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095818",
            "telephone_number": "719-473-1805",
            "fax_number": "719-302-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASE TWO COUNSELING SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "JONES-DUDLEY",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-473-1805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "6148",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "6148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Counseling Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.