Healthcare Provider Details

I. General information

NPI: 1598572539
Provider Name (Legal Business Name): 10 CAN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2024
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 FELWOOD LN
PALM COAST FL
32137-9277
US

IV. Provider business mailing address

4655 HAHNS PEAK DR UNIT 203
LOVELAND CO
80538-7008
US

V. Phone/Fax

Practice location:
  • Phone: 307-306-8937
  • Fax:
Mailing address:
  • Phone: 307-306-8937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code225800000X
TaxonomyRecreation Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. MATTHEW R. BURKE
Title or Position: FOUNDER
Credential:
Phone: 307-306-8937