Healthcare Provider Details

I. General information

NPI: 1356261358
Provider Name (Legal Business Name): HARDBEAUTY FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 KINNER ST
CASTLE ROCK CO
80109-1514
US

IV. Provider business mailing address

840 KINNER ST
CASTLE ROCK CO
80109-1514
US

V. Phone/Fax

Practice location:
  • Phone: 719-799-3464
  • Fax:
Mailing address:
  • Phone: 303-993-7030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RACQUEL GARCIA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 719-660-2831