Organization Name: | FOOTBRIDGE COUNSELING & COACHING |
NPI Number: | 1033235411 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELISSA ANN LUZZI (DIRECTOR) |
Mailing Address: | 7651 W 41st Ave #91 Wheat Ridge |
State: | CO US |
Postal Code: | 800334559 |
Phone Number: | 7208980257 |
Fax Number: | 7208980460 |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4066 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |