Provider Demographics
NPI:1114095205
Name:FRONT RANGE INSTITUTE
Entity Type:Organization
Organization Name:FRONT RANGE INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:RAUCH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:719-531-9211
Mailing Address - Street 1:2864 S CIRCLE DR
Mailing Address - Street 2:SUITE 500
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-4114
Mailing Address - Country:US
Mailing Address - Phone:719-531-9211
Mailing Address - Fax:719-577-9627
Practice Address - Street 1:2864 S CIRCLE DR
Practice Address - Street 2:SUITE 500
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-4114
Practice Address - Country:US
Practice Address - Phone:719-531-9211
Practice Address - Fax:719-577-9627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9897311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty