Provider Demographics
NPI:1588454763
Name:SAGEBRUSH RECOVERY SERVICES, LLC
Entity type:Organization
Organization Name:SAGEBRUSH RECOVERY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR, FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:CPFS
Authorized Official - Phone:720-688-1235
Mailing Address - Street 1:PO BOX 88
Mailing Address - Street 2:
Mailing Address - City:BAILEY
Mailing Address - State:CO
Mailing Address - Zip Code:80421-0088
Mailing Address - Country:US
Mailing Address - Phone:720-688-1235
Mailing Address - Fax:970-780-4415
Practice Address - Street 1:222 1/2 F ST STE 12
Practice Address - Street 2:
Practice Address - City:SALIDA
Practice Address - State:CO
Practice Address - Zip Code:81201-2141
Practice Address - Country:US
Practice Address - Phone:720-688-1235
Practice Address - Fax:970-780-4415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health