Healthcare Provider Details

I. General information

NPI: 1093687113
Provider Name (Legal Business Name): SECURE INSIDE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 NICKEL ST
BROOMFIELD CO
80020-2013
US

IV. Provider business mailing address

2975 BROADMOOR VALLEY RD STE 204
COLORADO SPRINGS CO
80906-4466
US

V. Phone/Fax

Practice location:
  • Phone: 300-111-0078
  • Fax:
Mailing address:
  • Phone: 970-703-6331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: AMBER CHERRETTE
Title or Position: OWNER
Credential:
Phone: 970-703-6331