Provider Demographics
NPI:1285495226
Name:MENTAL HEALTH AMERICA OF COLORADO
Entity type:Organization
Organization Name:MENTAL HEALTH AMERICA OF COLORADO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP, OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-547-1753
Mailing Address - Street 1:303 E 17TH AVENUE
Mailing Address - Street 2:FOURTH FLOOR
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-1289
Mailing Address - Country:US
Mailing Address - Phone:720-208-2220
Mailing Address - Fax:
Practice Address - Street 1:9799 E GEDDES AVE
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3687
Practice Address - Country:US
Practice Address - Phone:720-334-0789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-17
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty