Healthcare Provider Details
I. General information
NPI: 1104222900
Provider Name (Legal Business Name): BEHAVIORAL TREATMENT SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/06/2014
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17301 W COLFAX AVE STE 275
GOLDEN CO
80401-4886
US
IV. Provider business mailing address
12600 W COLFAX AVE STE B410
LAKEWOOD CO
80215-3750
US
V. Phone/Fax
- Phone: 303-834-0370
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 1750-04 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 1750-04 |
| License Number State | CO |
VIII. Authorized Official
Name: MRS.
LINDSEY
FEOLA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 720-626-8589