Healthcare Provider Details

I. General information

NPI: 1528718863
Provider Name (Legal Business Name): STARTING WITH YOU LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 COFFMAN ST STE 204
LONGMONT CO
80501-5445
US

IV. Provider business mailing address

3379 SHADBUSH ST
JOHNSTOWN CO
80534-9142
US

V. Phone/Fax

Practice location:
  • Phone: 970-587-3699
  • Fax:
Mailing address:
  • Phone: 970-587-3699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: CAITLIN M MININO
Title or Position: OWNER
Credential: LCSW, LAC
Phone: 970-587-3699