Provider Demographics
NPI:1073375275
Name:KIDSTUFF CHILD & FAMILY COUNSELING, P.C.
Entity Type:Organization
Organization Name:KIDSTUFF CHILD & FAMILY COUNSELING, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-599-5395
Mailing Address - Street 1:1440 W 29TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-2459
Mailing Address - Country:US
Mailing Address - Phone:970-775-7061
Mailing Address - Fax:
Practice Address - Street 1:1006 ROBERTSON ST STE 220
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-3920
Practice Address - Country:US
Practice Address - Phone:970-775-7061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty