Provider Demographics
NPI:1467124511
Name:MENTAL HEALTH FIRST RESPONDERS, LLC
Entity Type:Organization
Organization Name:MENTAL HEALTH FIRST RESPONDERS, LLC
Other - Org Name:MH1R
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZORNES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:303-910-9693
Mailing Address - Street 1:117 ELLENDALE ST
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-8801
Mailing Address - Country:US
Mailing Address - Phone:303-910-9693
Mailing Address - Fax:
Practice Address - Street 1:117 ELLENDALE ST
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-8010
Practice Address - Country:US
Practice Address - Phone:303-910-9693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-28
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty