Provider Demographics
NPI:1093480816
Name:MINDSET REPS, LLC
Entity Type:Organization
Organization Name:MINDSET REPS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MENTAL HEALTH CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:B
Authorized Official - Last Name:MONTEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, EMDR
Authorized Official - Phone:720-560-3783
Mailing Address - Street 1:2007 HUNTER CT
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-1216
Mailing Address - Country:US
Mailing Address - Phone:720-560-3783
Mailing Address - Fax:
Practice Address - Street 1:1300 OAKRIDGE DR STE 100
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-5749
Practice Address - Country:US
Practice Address - Phone:720-560-3783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health