Healthcare Provider Details

I. General information

NPI: 1528336823
Provider Name (Legal Business Name): SINGER GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2011
Last Update Date: 12/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1790 30TH ST STE 305
BOULDER CO
80301-1020
US

IV. Provider business mailing address

1790 30TH ST STE 305
BOULDER CO
80301-1020
US

V. Phone/Fax

Practice location:
  • Phone: 303-447-2038
  • Fax: 303-440-6794
Mailing address:
  • Phone: 303-447-2038
  • Fax: 303-440-6794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number1171-00
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. JEAN ANN GEHRING
Title or Position: DIRECTOR
Credential: LCSW, CAC III
Phone: 303-447-2038