Healthcare Provider Details

I. General information

NPI: 1841118189
Provider Name (Legal Business Name): PAIGE LEWIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

1006 ROBERTSON ST STE 120
FORT COLLINS CO
80524-3948
US

IV. Provider business mailing address

1660 DOGWOOD CT
FORT COLLINS CO
80525-2022
US

V. Phone/Fax

Practice location:
  • Phone: 970-775-7061
  • Fax:
Mailing address:
  • Phone: 970-682-9221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: