Healthcare Provider Details

I. General information

NPI: 1073436085
Provider Name (Legal Business Name): FOUR POINTS COUNSELING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 E ELIZABETH ST STE 3
FORT COLLINS CO
80524-4066
US

IV. Provider business mailing address

1221 E ELIZABETH ST STE 3
FORT COLLINS CO
80524-4066
US

V. Phone/Fax

Practice location:
  • Phone: 960-682-1337
  • Fax: 970-329-9960
Mailing address:
  • Phone: 970-682-1337
  • Fax: 970-329-9960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: LAUREN BOE STANLEY
Title or Position: DIRECTOR
Credential: LCSW
Phone: 970-682-1337