Healthcare Provider Details

I. General information

NPI: 1093632416
Provider Name (Legal Business Name): FLAT TOPS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

889 PARK AVE
MEEKER CO
81641
US

IV. Provider business mailing address

PO BOX 1352
MEEKER CO
81641-1352
US

V. Phone/Fax

Practice location:
  • Phone: 970-942-8306
  • Fax:
Mailing address:
  • Phone: 970-942-8306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRICE GLASSCOCK
Title or Position: CAS/OWNER
Credential: CAS
Phone: 970-942-8306