Provider Demographics
NPI:1235502956
Name:CHILDSAFE COLORADO, INC
Entity type:Organization
Organization Name:CHILDSAFE COLORADO, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:NICKI
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-472-4133
Mailing Address - Street 1:2001 S. SHIELDS ST., BLDG. K
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-1838
Mailing Address - Country:US
Mailing Address - Phone:970-472-4133
Mailing Address - Fax:970-493-6655
Practice Address - Street 1:2366 E 1ST ST
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-5906
Practice Address - Country:US
Practice Address - Phone:970-472-4133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHILDSAFE COLORADO, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-11-03
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty