Healthcare Provider Details

I. General information

NPI: 1316791460
Provider Name (Legal Business Name): VALOR COUNSELING AND HOLISTIC SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2024
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 TERRY ST STE 200
LONGMONT CO
80501-5464
US

IV. Provider business mailing address

390 INTERLOCKEN CRES STE 350
BROOMFIELD CO
80021-8051
US

V. Phone/Fax

Practice location:
  • Phone: 720-435-6172
  • Fax:
Mailing address:
  • Phone: 720-435-6172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JASON ROBERTS
Title or Position: CEO/CLINICIAN
Credential: MA, LPC
Phone: 720-435-6172