BOULDER PRIDE NPI 1932856069

NPI Information

NPI: 1932856069
Provider Name: BOULDER PRIDE

Doing Business As: OUT BOULDER COUNTY

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1443 SPRUCE ST
BOULDER, CO
ZIP 80302
Phone: (303) 449-5777
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BOULDER PRIDE is a mental health counselor in Boulder, CO. BOULDER PRIDE NPI is 1932856069. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Out Boulder County.

The provider's business location address is:

1443 SPRUCE ST
BOULDER, CO
ZIP 80302-814
Phone: (303) 449-5777

The provider's authorized official is Tamora Tanniehill .
The authorized official title is Mental Health Program Manager and has the following contact phone number (303) 499-5777.

The enumeration date for this NPI number is 3/8/2022 and was last updated on 7/5/2022.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YM0800X	Counselor	Mental Health			Yes

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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