Healthcare Provider Details

I. General information

NPI: 1033026315
Provider Name (Legal Business Name): COOL BIRD COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 VIEW LN
GUFFEY CO
80820-9667
US

IV. Provider business mailing address

251 VIEW LN
GUFFEY CO
80820-9667
US

V. Phone/Fax

Practice location:
  • Phone: 303-351-1068
  • Fax:
Mailing address:
  • Phone: 303-351-1068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: KELLY R FAUS
Title or Position: MEMBER
Credential: MA, LPC, LAC
Phone: 303-351-1068