Healthcare Provider Details

I. General information

NPI: 1659282705
Provider Name (Legal Business Name): A CONFIDENT LIVING COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4453 RUSTIC TRL
BOULDER CO
80301-3920
US

IV. Provider business mailing address

4453 RUSTIC TRL
BOULDER CO
80301-3920
US

V. Phone/Fax

Practice location:
  • Phone: 303-517-0038
  • Fax:
Mailing address:
  • Phone: 303-517-0038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ASHLYN DELL
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 720-295-8440