Provider Demographics
NPI:1205102985
Name:CARENET ASSOCIATES LLC
Entity type:Organization
Organization Name:CARENET ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:E
Authorized Official - Last Name:NIEBLING
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, DMIN, LAC
Authorized Official - Phone:303-370-2273
Mailing Address - Street 1:7100 E HAMPDEN AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-3037
Mailing Address - Country:US
Mailing Address - Phone:303-692-8355
Mailing Address - Fax:303-692-8197
Practice Address - Street 1:11811 UPHAM ST
Practice Address - Street 2:UNIT A
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-2777
Practice Address - Country:US
Practice Address - Phone:303-370-2273
Practice Address - Fax:303-370-9008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO94251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health