1326798703 NPI number — KIDSTUFF CHILD AND FAMILY COUNSELING, P.C.

Table of content: (NPI 1326798703)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326798703 NPI number — KIDSTUFF CHILD AND FAMILY COUNSELING, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KIDSTUFF CHILD AND FAMILY COUNSELING, P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326798703
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/19/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1440 W. 29TH ST.
Provider Second Line Business Mailing Address:
STE. 100
Provider Business Mailing Address City Name:
LOVELAND
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80538
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-775-7061
Provider Business Mailing Address Fax Number:
970-292-8194

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5265 N. ACADEMY BLVD.
Provider Second Line Business Practice Location Address:
STE. 1000
Provider Business Practice Location Address City Name:
COLORADO SPRINGS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80918
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-775-7061
Provider Business Practice Location Address Fax Number:
970-292-8194
Provider Enumeration Date:
03/28/2022

Additional Information

Authorized Official

Authorized Official Last Name:
EVANS
Authorized Official First Name:
CHRISTINE
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF OPERATIONS
Authorized Official Telephone Number:
970-775-7061

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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