Healthcare Provider Details

I. General information

NPI: 1649991225
Provider Name (Legal Business Name): WELD COUNTY DEPARTMENT OF HUMAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2022
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 N 11TH AVE
GREELEY CO
80631-2014
US

IV. Provider business mailing address

PO BOX 458
GREELEY CO
80632-0458
US

V. Phone/Fax

Practice location:
  • Phone: 970-400-6765
  • Fax:
Mailing address:
  • Phone: 970-400-6765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: RACHEL WISDOM-VIDAL
Title or Position: WRAPAROUND SUPERVISOR
Credential: LCSW
Phone: 970-400-6765