Healthcare Provider Details

I. General information

NPI: 1386478550
Provider Name (Legal Business Name): INTEGRATIVE HEALTHCARE OF COLORADO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2024
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 CURVE PLZ UNIT A-101
STEAMBOAT SPRINGS CO
80487-5194
US

IV. Provider business mailing address

PO BOX 727
CLARK CO
80428-0727
US

V. Phone/Fax

Practice location:
  • Phone: 970-819-1710
  • Fax: 970-360-2347
Mailing address:
  • Phone: 970-819-1710
  • Fax: 970-360-2347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH FAYE KIRT
Title or Position: SOLE MBR
Credential: OD
Phone: 970-819-1710