Healthcare Provider Details

I. General information

NPI: 1154006476
Provider Name (Legal Business Name): MOUNTAIN EMPLOYMENT TRAINING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2023
Last Update Date: 06/15/2023
Certification Date: 06/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1231 N FRANKLIN ST
COLORADO SPRINGS CO
80903-2525
US

IV. Provider business mailing address

1231 N FRANKLIN ST
COLORADO SPRINGS CO
80903-2525
US

V. Phone/Fax

Practice location:
  • Phone: 720-924-1953
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name: INGA CARLAND
Title or Position: OWNER & EMPLOYMENT SPECIALIST
Credential:
Phone: 720-924-1953