Healthcare Provider Details

I. General information

NPI: 1407972615
Provider Name (Legal Business Name): FLATIRONS BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2255 S 88TH ST
LOUISVILLE CO
80027-9716
US

IV. Provider business mailing address

2255 S 88TH ST
LOUISVILLE CO
80027-9716
US

V. Phone/Fax

Practice location:
  • Phone: 303-673-9990
  • Fax:
Mailing address:
  • Phone: 303-673-9990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number3877
License Number StateCO

VIII. Authorized Official

Name: MS. JACKIE MCKENNEY
Title or Position: MANAGER OF ASSESSMENT
Credential: LPC
Phone: 303-666-2088