Provider Demographics
NPI:1073378733
Name:PEACE OF MIND 5280, INC
Entity type:Organization
Organization Name:PEACE OF MIND 5280, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHORT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-285-9572
Mailing Address - Street 1:44921 OVERLAND TRL
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:CO
Mailing Address - Zip Code:80107-9324
Mailing Address - Country:US
Mailing Address - Phone:303-524-4427
Mailing Address - Fax:
Practice Address - Street 1:187 E KIOWA AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:CO
Practice Address - Zip Code:80107-7452
Practice Address - Country:US
Practice Address - Phone:303-418-4573
Practice Address - Fax:303-418-4573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty