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NPI Code Detail

MEDICARE: TRUMPET BEHAVIORAL HEALTH, LLC

MEDICARE: TRUMPET BEHAVIORAL HEALTH, 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
1251S00000XCommunity/Behavioral Health Agency
2103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992203988
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRUMPET BEHAVIORAL HEALTH, LLC
Provider Business Mailing Address
First Line : 390 UNION BLVD STE 300
Second Line :
City : LAKEWOOD
State : CO
Zip : 80228-6514
Country : US
Telephone Number : 303-989-8169
Fax Number : 303-984-4366
Provider Business Practice Location Address
First Line : 6197 LEHMAN DR STE 102
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-3446
Country : US
Telephone Number : 303-989-8169
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF FINANCIAL SERVICES
Name : KATHRYNNE JOHNS
Credential :
Telephone Number : 720-580-0100
Provider Enumeration Date : 01/25/2018
Last Update Date : 01/31/2024

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Directions to “TRUMPET BEHAVIORAL HEALTH, LLC ” Practice Location

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