MEDICARE: REYES CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
2	251S00000X	Community/Behavioral Health Agency	1595-02	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316307606
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REYES CORPORATION

Provider Business Mailing Address
First Line	:	3000 S COLLEGE AVE UNIT 202
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-2558
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 S COLLEGE AVE UNIT 202
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-2558
Country	:	US
Telephone Number	:	970-221-4057
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	STEPHANIE REYES
Credential	:	MAC, LPC, LAC
Telephone Number	:	970-221-4057

Provider Enumeration Date	:	02/29/2016
Last Update Date	:	07/21/2021

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Directions to “REYES CORPORATION ” Practice Location

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