Provider Demographics
NPI:1841662889
Name:COMMUNITY SOLUTIONS, INC
Entity type:Organization
Organization Name:COMMUNITY SOLUTIONS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:URSICH
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, LMFT
Authorized Official - Phone:720-436-7537
Mailing Address - Street 1:420 21ST AVE
Mailing Address - Street 2:SUITE 113
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-1441
Mailing Address - Country:US
Mailing Address - Phone:303-834-9369
Mailing Address - Fax:303-834-9396
Practice Address - Street 1:420 21ST AVE
Practice Address - Street 2:SUITE 113
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-1441
Practice Address - Country:US
Practice Address - Phone:303-834-9369
Practice Address - Fax:303-834-9396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-29
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1771-01101YA0400X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO58173Medicaid