Provider Demographics
NPI:1548979826
Name:OPEN HANDS COUNSELING GROUP
Entity type:Organization
Organization Name:OPEN HANDS COUNSELING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CECILE
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:MARQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:970-458-5124
Mailing Address - Street 1:324 E RAILROAD AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:FORT MORGAN
Mailing Address - State:CO
Mailing Address - Zip Code:80701-3144
Mailing Address - Country:US
Mailing Address - Phone:970-458-5124
Mailing Address - Fax:970-205-9604
Practice Address - Street 1:324 E RAILROAD AVE STE 500
Practice Address - Street 2:
Practice Address - City:FORT MORGAN
Practice Address - State:CO
Practice Address - Zip Code:80701-3144
Practice Address - Country:US
Practice Address - Phone:970-458-5124
Practice Address - Fax:970-205-9604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health