Provider Demographics
NPI:1861727760
Name:INTERACTIONS COUNSELING P.C.
Entity type:Organization
Organization Name:INTERACTIONS COUNSELING P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BERK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW BCD
Authorized Official - Phone:303-796-7908
Mailing Address - Street 1:7400 E ARAPAHOE RD
Mailing Address - Street 2:#202
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1279
Mailing Address - Country:US
Mailing Address - Phone:303-796-7908
Mailing Address - Fax:303-796-7115
Practice Address - Street 1:7400 E ARAPAHOE RD
Practice Address - Street 2:#202
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1279
Practice Address - Country:US
Practice Address - Phone:303-796-7908
Practice Address - Fax:303-796-7115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-09
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9911541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07011547Medicaid
CO991154OtherLCSW LICENSE NUMBER