Healthcare Provider Details
I. General information
NPI: 1629898762
Provider Name (Legal Business Name): THE SEQUEL IS BETTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/14/2024
Last Update Date: 10/21/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1225 CIMARRON DR
LAFAYETTE CO
80026-3812
US
IV. Provider business mailing address
618 BARBERRY DR
LONGMONT CO
80503-7516
US
V. Phone/Fax
- Phone: 720-295-9394
- 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 | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTOPHER
OLIVEIRA
Title or Position: FOUNDER
Credential:
Phone: 720-352-7043