Healthcare Provider Details

I. General information

NPI: 1215554753
Provider Name (Legal Business Name): OPTIMUM GUIDANCE BEHAVIOR CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2020
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 N. MAPLE AVENUE
FLORENCE CO
81226-1443
US

IV. Provider business mailing address

7774 W TRAIL SOUTH DR
LITTLETON CO
80125-9512
US

V. Phone/Fax

Practice location:
  • Phone: 720-400-4471
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CARRIE MYERS
Title or Position: OWNER
Credential:
Phone: 541-761-6230