Healthcare Provider Details

I. General information

NPI: 1174548010
Provider Name (Legal Business Name): COLORADO MOVES COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 06/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2345 S FEDERAL BLVD SUITE 130
DENVER CO
80219-5435
US

IV. Provider business mailing address

2345 S FEDERAL BLVD SUITE 130
DENVER CO
80219-5435
US

V. Phone/Fax

Practice location:
  • Phone: 303-934-7050
  • Fax: 303-934-2201
Mailing address:
  • Phone: 303-934-7050
  • Fax: 303-934-2201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number1345-00
License Number StateCO

VIII. Authorized Official

Name: MS. PATRICIA WOODWARD
Title or Position: ADMINISTRATIVE DIRECTOR
Credential:
Phone: 303-934-7050