Healthcare Provider Details

I. General information

NPI: 1427840453
Provider Name (Legal Business Name): REDPOINT CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2025
Last Update Date: 05/17/2025
Certification Date: 05/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 CANYON BLVD STE 250
BOULDER CO
80302-6743
US

IV. Provider business mailing address

1831 LEFTHAND CIR STE H
LONGMONT CO
80501-6768
US

V. Phone/Fax

Practice location:
  • Phone: 888-509-3153
  • Fax:
Mailing address:
  • Phone: 882-509-3153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DONNIE HAGENBART
Title or Position: CEO
Credential:
Phone: 630-631-6817