Provider Demographics
NPI:1093420895
Name:COLORADO MENTAL HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:COLORADO MENTAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:HENLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-719-1097
Mailing Address - Street 1:PO BOX 261029
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-9029
Mailing Address - Country:US
Mailing Address - Phone:719-659-2546
Mailing Address - Fax:
Practice Address - Street 1:8805 W 14TH AVE STE 250
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-4848
Practice Address - Country:US
Practice Address - Phone:719-659-2546
Practice Address - Fax:720-545-9080
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RED ROCK RECOVERY CENTERS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)