Provider Demographics
NPI:1861009938
Name:OPEN DOORS COUNSELING, COACHING AND CONSULTING
Entity type:Organization
Organization Name:OPEN DOORS COUNSELING, COACHING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:ELISABETH
Authorized Official - Last Name:GUTOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:602-499-9952
Mailing Address - Street 1:21640 N. 19TH AVENUE
Mailing Address - Street 2:SUITE C9
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027
Mailing Address - Country:US
Mailing Address - Phone:602-499-9952
Mailing Address - Fax:662-434-3514
Practice Address - Street 1:21640 N. 19TH AVE
Practice Address - Street 2:SUITE C9
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027
Practice Address - Country:US
Practice Address - Phone:602-499-9952
Practice Address - Fax:662-434-3514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty