| Children's Trauma Center, Llc | |
|
295 5th Street Suite 8 Fairplay CO 80440-5016 | |
| (720) 262-1279 | |
| Not Available |
| Full Name | Children's Trauma Center, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 295 5th Street, Fairplay, Colorado |
| Authorized Official Name and Position | Karen Renee Blackwell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7202621279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Trauma Center, Llc 26719 Pleasant Park Rd Unit 120 Conifer CO 80433 Ph: (720) 262-1279 | Children's Trauma Center, Llc 295 5th Street Suite 8 Fairplay CO 80440-5016 Ph: (720) 262-1279 |
| NPI Number | 1215759774 |
|---|---|
| Provider Enumeration Date | 10/28/2024 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215759774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Diversus Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 970 Castello Ave, Fairplay, CO 80440 Phone: 719-572-6100 | |
Aspenpointe Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 970 Castello Ave, Fairplay, CO 80440 Phone: 719-572-6100 | |
Paragon Behavioral Health Connections Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 295 5th St Unit 6, Fairplay, CO 80440 Phone: 719-427-6701 | |
Knudsen Counseling Educational And Business Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 548 Front Street, Fairplay, CO 80440 Phone: 719-960-4598 | |
Paragon Behavioral Health Connections Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 295 5th St Unit 6, Fairplay, CO 80440 Phone: 719-427-6701 | |
Sagebrush Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 548 Front St, Fairplay, CO 80440 Phone: 785-865-6555 Fax: 844-265-8622 |