Provider Demographics
NPI:1295858892
Name:BIJOU TREATMENT AND TRAINING INSTITUTE
Entity Type:Organization
Organization Name:BIJOU TREATMENT AND TRAINING INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:I
Authorized Official - Last Name:VILLALOVOS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:719-359-5431
Mailing Address - Street 1:2101 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80910-3115
Mailing Address - Country:US
Mailing Address - Phone:719-633-1542
Mailing Address - Fax:
Practice Address - Street 1:3055 AUSTIN BLUFFS PKWY
Practice Address - Street 2:SUITE C
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-5748
Practice Address - Country:US
Practice Address - Phone:719-359-5431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO63467251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health