=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538085360
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CASADOS WELLNESS SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/25/2026
-----------------------------------------------------
Last Update Date | 06/26/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2505 DAHLIA LN
-----------------------------------------------------
City | PUEBLO
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 81004-3630
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-320-9072
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2505 DAHLIA LN
-----------------------------------------------------
City | PUEBLO
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 81004-3630
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-320-9072
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | PAUL ANTHONY CASADOS
-----------------------------------------------------
Credential | PMHNP-BC
-----------------------------------------------------
Telephone | 719-320-9072
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------