Provider Demographics
NPI:1043407018
Name:CARITAS PSYCHOTHERAPY & CONSULTATION, LLC
Entity Type:Organization
Organization Name:CARITAS PSYCHOTHERAPY & CONSULTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:REIMER
Authorized Official - Suffix:
Authorized Official - Credentials:ND, MS, RN, NP
Authorized Official - Phone:719-530-1256
Mailing Address - Street 1:1548 G ST
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:SALIDA
Mailing Address - State:CO
Mailing Address - Zip Code:81201-2645
Mailing Address - Country:US
Mailing Address - Phone:719-530-1256
Mailing Address - Fax:719-539-6038
Practice Address - Street 1:1548 G ST
Practice Address - Street 2:SUITE 2A
Practice Address - City:SALIDA
Practice Address - State:CO
Practice Address - Zip Code:81201-2645
Practice Address - Country:US
Practice Address - Phone:719-530-1256
Practice Address - Fax:719-539-6038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO 1119947363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty