Provider Demographics
NPI:1407741416
Name:COUNTY OF WELD BOARD OF COUNTY COMMISSIONERS
Entity type:Organization
Organization Name:COUNTY OF WELD BOARD OF COUNTY COMMISSIONERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WISDOM-VIDAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-400-6765
Mailing Address - Street 1:PO BOX 458
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80632-0458
Mailing Address - Country:US
Mailing Address - Phone:970-400-6765
Mailing Address - Fax:
Practice Address - Street 1:315 N 11TH AVE BLDG A
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-2014
Practice Address - Country:US
Practice Address - Phone:970-400-6765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF WELD BOARD OF COUNTY COMMISSIONERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health