Healthcare Provider Details

I. General information

NPI: 1912868233
Provider Name (Legal Business Name): AN ENDURING LOVE, CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 S COLLEGE AVE UNIT B101
FORT COLLINS CO
80524-3003
US

IV. Provider business mailing address

605 S COLLEGE AVE UNIT B101
FORT COLLINS CO
80524-3003
US

V. Phone/Fax

Practice location:
  • Phone: 970-818-8346
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ROBERT COLBERT
Title or Position: OWNER/PHD
Credential:
Phone: 970-818-8346