Healthcare Provider Details

I. General information

NPI: 1710818703
Provider Name (Legal Business Name): ANIMA CHID AND FAMILY THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2625 REDWING RD STE 210
FORT COLLINS CO
80526-6327
US

IV. Provider business mailing address

918 WHALERS WAY
FORT COLLINS CO
80525-4885
US

V. Phone/Fax

Practice location:
  • Phone: 970-430-5171
  • Fax:
Mailing address:
  • Phone: 970-430-5171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: HEATHER TRUSCHEL
Title or Position: OWNER
Credential:
Phone: 970-430-5171