MEDICARE: DYNAMIC MINDS INSTITUTE, LLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1417678129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DYNAMIC MINDS INSTITUTE, LLC

Provider Business Mailing Address
First Line	:	1870 DUBLIN BLVD STE F
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-1264
Country	:	US
Telephone Number	:	720-504-7245
Fax Number	:

Provider Business Practice Location Address
First Line	:	1870 DUBLIN BLVD STE F
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-1264
Country	:	US
Telephone Number	:	720-504-7245
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KIRSTEN NELSON
Credential	:	APRN
Telephone Number	:	720-504-7245

Provider Enumeration Date	:	09/09/2022
Last Update Date	:	09/09/2022

Similar Medicare Providers

1225210263 — SANG HWA LEE ACUPUNCTURIST
Practice Location Address:

1870 DUBLIN BLVD STE A
COLORADO SPRINGS, CO
80918-1264

Practice Phone: 719-550-0226
Practice Fax: 719-597-8016

1699182964 — MS. DANIELLE MARIE PATTERSON
Practice Location Address:

1870 DUBLIN BLVD , STE B
COLORADO SPRINGS, CO
80918-1264

Practice Phone: 719-300-5735
Practice Fax: 719-931-5603

1720442700 — MS. KIRSTEN A NELSON MSN, APRN PMHNP-BC
Practice Location Address:

1870 DUBLIN BLVD STE F
COLORADO SPRINGS, CO
80918-1264

Practice Phone: 720-504-7245
Practice Fax: 720-815-0269

1992548010 — ROGUE ABA COLORADO LLC
Practice Location Address:

2955 NEW CENTER PT # 1264
COLORADO SPRINGS, CO
80922-2806

Practice Phone: 603-692-8173
Practice Fax:

1326067281 — MR. SALVATORE LEONARD DELELLIS DPM
Practice Location Address:

1264 SOUTH PINELLAS AVENUE
TARPON SPRINGS, FL
34689

Practice Phone: 727-937-6398
Practice Fax: 727-937-6568

1881739126 — SAL L DELELLIS D.P.M P. A.
Practice Location Address:

1264 S PINELLAS AVE
TARPON SPRINGS, FL
34689-3720

Practice Phone: 727-937-6398
Practice Fax: 727-937-6568

Directions to “DYNAMIC MINDS INSTITUTE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.