Healthcare Provider Details
I. General information
NPI: 1962202119
Provider Name (Legal Business Name): FIDELITY BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/17/2025
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8510 BRYANT ST STE 330
WESTMINSTER CO
80031-3845
US
IV. Provider business mailing address
8510 BRYANT ST STE 330
WESTMINSTER CO
80031-3845
US
V. Phone/Fax
- Phone: 720-955-9887
- Fax:
- Phone: 720-955-9887
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MORGAN
PATRICK
MATHEWS
Title or Position: COO
Credential:
Phone: 949-793-1486