Healthcare Provider Details

I. General information

NPI: 1316307606
Provider Name (Legal Business Name): REYES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/29/2016
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 S COLLEGE AVE UNIT 202
FORT COLLINS CO
80525-2558
US

IV. Provider business mailing address

1437 DENVER AVE # 325
LOVELAND CO
80538-5226
US

V. Phone/Fax

Practice location:
  • Phone: 970-221-4057
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number1595-02
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE REYES
Title or Position: EXECUTIVE DIRECTOR
Credential: LPC, LAC, MAC, ACS
Phone: 970-480-1702