MANCOS VALLEY CENTER FOR TRAUMA AND ATTACHMENT
NPI 1215446612
Counselor - Mental Health in Mancos, CO

NPI Status: Active since September 28, 2017

Contact Information

104 S. MAIN ST
SUITE 3
MANCOS, CO
ZIP 81328
Phone: (970) 403-5488
Fax: (970) 422-7236

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  • Organization
  • Counselor
  • Mental Health

About MANCOS VALLEY CENTER FOR TRAUMA AND ATTACHMENT

This page provides the complete NPI Profile along with additional information for Mancos Valley Center For Trauma And Attachment, a provider established in Mancos, Colorado operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1215446612 assigned on September 2017. The practitioner's primary taxonomy code is 101YM0800X with license number 0013328 (CO). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Mancos Valley Center For Trauma And Attachment. The authorized official of this NPI record is David Cole Awdish Lpc (Owner/operator)

NPI
1215446612
Provider Legal Name
COLE AWDISH LPC LLC
Other Organization Name
MANCOS VALLEY CENTER FOR TRAUMA AND ATTACHMENT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
104 S. MAIN ST SUITE 3 MANCOS, CO 81328
Location Phone
(970) 403-5488
Location Fax
(970) 422-7236
Mailing Address
844 BAUER AVE MANCOS, CO 81328
Mailing Phone
(970) 403-5488
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-28-2017
Last Update Date
06-06-2024
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A mental health counselor like Mancos Valley Center For Trauma And Attachment provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Secondary Locations

  • 2243 Main Ave
    Durango, CO 81301
    (970) 403-5488

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
0013328
License State
CO

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID COLE AWDISH LPC

Authorized Official Title
OWNER/OPERATOR
Authorized Official Phone
(970) 403-5488

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215446612
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2225841262
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 8 + 4 + 1 + 2 + 6 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1215446612 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184473019 DANIELLE DIPIRO
Individual
Counselor (Mental Health)104 S. MAIN ST SUITE #3
MANCOS, CO 81328
(970) 403-5486
1174929558 DAVID COLE AWDISH
Individual
Counselor (Mental Health)104 S. MAIN ST SUITE 3
MANCOS, CO 81328
(970) 403-5488
1619780913 SARAH COBURN LSW
Individual
Social Worker104 S. MAIN ST SUITE 3
MANCOS, CO 81328
(970) 403-5496

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215446612, enumerated in the NPI registry as an "organization" on September 28, 2017

The provider is located at 104 S. Main St Suite 3 Mancos, Co 81328 and the phone number is (970) 403-5488

This medical organization specializes in Counselor with taxonomy code 101YM0800X with a focus in Mental Health

This NPI record was last updated on September 28, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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