Provider Demographics
NPI:1679160154
Name:ANNIE MELL COUNSELING, LLC
Entity type:Organization
Organization Name:ANNIE MELL COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, ATR-BC
Authorized Official - Phone:407-579-4227
Mailing Address - Street 1:3450 S PLATTE RIVER DR APT 7203
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:CO
Mailing Address - Zip Code:80110-2177
Mailing Address - Country:US
Mailing Address - Phone:407-579-4227
Mailing Address - Fax:
Practice Address - Street 1:3450 S PLATTE RIVER DR APT 7203
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:CO
Practice Address - Zip Code:80110-2177
Practice Address - Country:US
Practice Address - Phone:407-579-4227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health