Healthcare Provider Details

I. General information

NPI: 1619895166
Provider Name (Legal Business Name): SAMANTHA M CHARYTONIUK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

189 COUNTY ROAD 253
DURANGO CO
81301-7426
US

IV. Provider business mailing address

189 COUNTY ROAD 253
DURANGO CO
81301-7426
US

V. Phone/Fax

Practice location:
  • Phone: 970-310-4006
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA CHARYTONIUK
Title or Position: OWNER
Credential: LPC
Phone: 970-310-4006