Healthcare Provider Details

I. General information

NPI: 1891523585
Provider Name (Legal Business Name): GUIDELIGHT HEALTH OF COLORADO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2024
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3773 CHERRY CREEK NORTH DRIVE STE 770
DENVER CO
80209-3804
US

IV. Provider business mailing address

3773 CHERRY CREEK NORTH DRIVE STE 770
DENVER CO
80209-3804
US

V. Phone/Fax

Practice location:
  • Phone: 720-634-8117
  • Fax: 720-596-5181
Mailing address:
  • Phone: 720-634-8117
  • Fax: 720-596-5181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHARLES SPOSATO
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 617-249-3557