Provider Demographics
NPI:1770339442
Name:EASTER SEALS COLORADO
Entity type:Organization
Organization Name:EASTER SEALS COLORADO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-233-1666
Mailing Address - Street 1:393 S HARLAN ST STE 250
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-3599
Mailing Address - Country:US
Mailing Address - Phone:303-233-1666
Mailing Address - Fax:
Practice Address - Street 1:5755 W ALAMEDA AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-3530
Practice Address - Country:US
Practice Address - Phone:303-233-1666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty