Healthcare Provider Details

I. General information

NPI: 1679330757
Provider Name (Legal Business Name): FIDELITY BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2024
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

Practice location:
  • Phone: 720-955-9887
  • Fax: 720-783-4756
Mailing address:
  • Phone: 949-793-1486
  • Fax: 720-783-4756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (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