Healthcare Provider Details

I. General information

NPI: 1255288080
Provider Name (Legal Business Name): ALLIANCE MENTAL HEALTH - COLORADO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 BOROLINE RD
SADDLE RIVER NJ
07458-2343
US

IV. Provider business mailing address

PO BOX 12192
DENVER CO
80212-0192
US

V. Phone/Fax

Practice location:
  • Phone: 918-608-0390
  • Fax: 209-425-5727
Mailing address:
  • Phone: 918-608-0380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: RONALD LOBATO
Title or Position: CEO
Credential:
Phone: 918-608-0380