Healthcare Provider Details

I. General information

NPI: 1235502956
Provider Name (Legal Business Name): CHILDSAFE COLORADO, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2015
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2366 E 1ST ST
LOVELAND CO
80537-5906
US

IV. Provider business mailing address

2001 S. SHIELDS ST., BLDG. K
FORT COLLINS CO
80526-1838
US

V. Phone/Fax

Practice location:
  • Phone: 970-472-4133
  • Fax:
Mailing address:
  • Phone: 970-472-4133
  • Fax: 970-493-6655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: NICKI HUGHES
Title or Position: BILLING COORDINATOR
Credential:
Phone: 970-472-4133