| Organization Name: | UTE CROSSING COUNSELING LLC |
| NPI Number: | 1093148074 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELENA K. MOGENSEN (OWNER) |
| Mailing Address: | 685 Main St, 5-b Meeker |
| State: | CO US |
| Postal Code: | 81641 |
| Phone Number: | 9708789935 |
| Fax Number: | 9708789970 |
| NPI Enumeration Date: | 08/14/2013 |
| NPI Last Update Date: | 12/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 988005 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |