Provider Demographics
NPI:1780156315
Name:COLORS PLUS COUNSELING
Entity type:Organization
Organization Name:COLORS PLUS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LENNON
Authorized Official - Middle Name:
Authorized Official - Last Name:PEPERA
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:216-200-8814
Mailing Address - Street 1:20525 CENTER RIDGE RD STE 134
Mailing Address - Street 2:
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116-3424
Mailing Address - Country:US
Mailing Address - Phone:216-200-8814
Mailing Address - Fax:
Practice Address - Street 1:20525 CENTER RIDGE RD STE 134
Practice Address - Street 2:
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-3424
Practice Address - Country:US
Practice Address - Phone:216-200-8814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-20
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty