Provider Demographics
NPI:1124212584
Name:CHILDSAFE COLORADO, INC.
Entity type:Organization
Organization Name:CHILDSAFE COLORADO, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MACRI-LIND
Authorized Official - Suffix:
Authorized Official - Credentials:MS LMFT
Authorized Official - Phone:970-472-4133
Mailing Address - Street 1:2001 S. SHIELDS ST, BLDG K
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526
Mailing Address - Country:US
Mailing Address - Phone:970-472-4133
Mailing Address - Fax:970-493-6655
Practice Address - Street 1:2001 S. SHIELDS ST, BLDG K
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526
Practice Address - Country:US
Practice Address - Phone:970-472-4133
Practice Address - Fax:970-493-6655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty