Provider Demographics
NPI:1326636333
Name:COLLABORATIVE TRAUMA SOLUTIONS LLC
Entity Type:Organization
Organization Name:COLLABORATIVE TRAUMA SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:970-901-5271
Mailing Address - Street 1:543 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-4244
Mailing Address - Country:US
Mailing Address - Phone:970-901-5271
Mailing Address - Fax:
Practice Address - Street 1:543 S 2ND ST
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-4244
Practice Address - Country:US
Practice Address - Phone:970-901-5271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)