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NPI Code Detail

MEDICARE: ATMOS HEALTHCARE LLC

MEDICARE: ATMOS HEALTHCARE 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1780534164
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATMOS HEALTHCARE LLC
Provider Business Mailing Address
First Line : 31524 KINGS VALLEY DR
Second Line :
City : CONIFER
State : CO
Zip : 80433-7529
Country : US
Telephone Number : 920-843-2905
Fax Number :
Provider Business Practice Location Address
First Line : 31524 KINGS VALLEY DR
Second Line :
City : CONIFER
State : CO
Zip : 80433-7529
Country : US
Telephone Number : 920-843-2905
Fax Number :
Authorized Official
Title or Position : COO/OWNER
Name : DANIEL GORDON SULLIVAN
Credential :
Telephone Number : 920-843-2905
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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Directions to “ATMOS HEALTHCARE LLC ” Practice Location

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