Healthcare Provider Details

I. General information

NPI: 1417881863
Provider Name (Legal Business Name): SEXUAL ASSAULT VICTIM ADVOCATE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 38TH AVENUE CT
GREELEY CO
80634-1501
US

IV. Provider business mailing address

4812 S COLLEGE AVE
FORT COLLINS CO
80525-3723
US

V. Phone/Fax

Practice location:
  • Phone: 970-472-4204
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KELSEY MORROW-WRIGHT
Title or Position: PROVIDER
Credential:
Phone: 614-256-0610