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NORTH COLORADO BEHAVIORAL HEALTH OF FORT COLLINS LLC NPI 1730217787


NPI Information

NPI: 1730217787
Provider Name: NORTH COLORADO BEHAVIORAL HEALTH OF FORT COLLINS, LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
3825 E MULBERRY ST
UNIT 5C
FORT COLLINS, CO
ZIP 80524
Phone: (970) 224-0495
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NORTH COLORADO BEHAVIORAL HEALTH OF FORT COLLINS, LLC is an addiction (substance use disorder) counselor in Fort Collins, CO. NORTH COLORADO BEHAVIORAL HEALTH OF FORT COLLINS, LLC NPI is 1730217787. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3825 E MULBERRY ST
UNIT 5C
FORT COLLINS, CO
ZIP 80524-574
Phone: (970) 224-0495
Fax: (970) 224-0497

The provider's authorized official is Gwendolyn P. Anderson .
The authorized official title is Facility Administrator and has the following contact phone number (970) 224-0495.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)1579-01COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
198323032MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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