Healthcare Provider Details

I. General information

NPI: 1508755950
Provider Name (Legal Business Name): MORNING BIRDSONG THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 07/01/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 E. FRONTAGE ROAD
MANCOS CO
81328
US

IV. Provider business mailing address

336 N MAIN ST
MANCOS CO
81328-9091
US

V. Phone/Fax

Practice location:
  • Phone: 720-273-0863
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CAMPBELL FERRARO
Title or Position: OWNER
Credential:
Phone: 720-273-0863