MEDICARE: FAITH COOPER CBD

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	374J00000X	Doula

General Provider Information

NPI Number	:	1962338483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAITH COOPER CBD

Provider Business Mailing Address
First Line	:	8826 MEADOWLARK CT
Second Line	:
City	:	WINDSOR
State	:	CO
Zip	:	80550-8416
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1817 JESSUP DR
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-2550
Country	:	US
Telephone Number	:	866-218-5769
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2026
Last Update Date	:	06/22/2026

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Directions to “ FAITH COOPER CBD” Practice Location

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