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ANTELOPE RECOVERY LLC NPI 1174225031


NPI Information

NPI: 1174225031
Provider Name: ANTELOPE RECOVERY LLC
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
1035 PEARL STREET
SUITE 313
BOULDER, CO
ZIP 80302
Phone: (303) 476-1488
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ANTELOPE RECOVERY LLC is an adolescent and children mental health clinic center in Boulder, CO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. ANTELOPE RECOVERY LLC NPI is 1174225031. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1035 PEARL STREET
SUITE 313
BOULDER, CO
ZIP 80302
Phone: (303) 476-1488

The provider's authorized official is Shelby Robbins .
The authorized official title is Founder and has the following contact phone number (303) 476-1488.

The enumeration date for this NPI number is 3/21/2023 and was last updated on 3/21/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2103TC0700XPsychologistClinicalNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

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: 5/5/2024

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