Provider Demographics
NPI:1659713774
Name:COLORADO ADDICTIONS CONSULTING
Entity Type:Organization
Organization Name:COLORADO ADDICTIONS CONSULTING
Other - Org Name:COLORADO ADDICTIONS CONSULTING LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MERRI
Authorized Official - Middle Name:E
Authorized Official - Last Name:BALDWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-501-6921
Mailing Address - Street 1:1978 S GARRISON ST STE 110-112
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-2282
Mailing Address - Country:US
Mailing Address - Phone:720-379-6590
Mailing Address - Fax:720-379-6137
Practice Address - Street 1:1978 S GARRISON ST STE 110-112
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-2282
Practice Address - Country:US
Practice Address - Phone:720-379-6590
Practice Address - Fax:720-379-6137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-18
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty