HAVEN BEHAVIORAL OUTPATIENT SERVICES OF COLORADO, LLC (NPI# 1154624302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154624302 |
| Entity Type | Organization |
| Organization Name | HAVEN BEHAVIORAL OUTPATIENT SERVICES OF COLORADO, LLC |
| Other Organization Name | FAMILY SUPPORT CENTER |
| Practice Address |
1330 Quail Lake Loop Suite 200 Colorado Springs CO 80906-4651 |
| Practice Telephone | 7195402108 |
| Practice Fax Number | 7192353785 |
| Mailing Telephone | 7195402108 |
| Mailing Fax Number | 7192353785 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2016-04-26 |
| Authorized Official Name | BRIAN DUNCAN (CEO) |
| Authorized Official Telephone | 7195402152 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Family Support Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396380994 | Haven Behavioral Outpatient Services of Colorado, LLC | Clinic/Center | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2019-11-07 |
| 1477198067 | Haven Behavioral Outpatient Services of Colorado, LLC | Clinic/Center | 155 Printers Pkwy Ste 120, Colorado Springs, CO 80910-6101 | 2019-11-07 |
| 1164067765 | Haven Behavioral Outpatient Services of Colorado, LLC | Clinic/Center | 6160 Tutt Blvd Ste 120, Colorado Springs, CO 80923-3503 | 2019-11-07 |
| Street Address |
1330 QUAIL LAKE LOOP SUITE 200 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-4651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386626984 | Jeannine Beaumont Laforce | Physical Therapist | 1330 Quail Lake Loop, Suite 100 Pt Works Cheyenne Mountain Clinic, Colorado Springs, CO 80906-4651 | 2005-11-18 |
| 1073124277 | Chandler Alexander Collins | Physical Therapist | 1330 Quail Lake Loop, Suite 100, Colorado Springs, CO 80906 | 2020-08-11 |
| 1992345565 | Eric Moore | Nurse Practitioner | 1330 Quail Lake Loop, Colorado Springs, CO 80906-4651 | 2020-01-13 |
| 1487111696 | Samatha E Demott | Occupational Therapist | 1330 Quail Lake Loop, Colorado Springs, CO 80906-4651 | 2019-02-23 |
| 1972097715 | Melonie Purcell | Behavior Technician | 1330 Quail Lake Loop, Colorado Springs, CO 80906-4651 | 2018-06-15 |
| 1396239141 | Alexis Budzeak | Behavior Technician | 1330 Quail Lake Loop, Colorado Springs, CO 80906-4651 | 2018-06-15 |
| 1033625421 | Alyssa Harms | Behavior Technician | 1330 Quail Lake Loop, Colorado Springs, CO 80906-4651 | 2017-12-20 |
| 1174039630 | Elaine Butterfield | Behavior Technician | 1330 Quail Lake Loop, Suite 200, Colorado Springs, CO 80906 | 2017-12-20 |
| 1023524584 | Courtney Gillis | Behavior Technician | 1330 Quail Lake Loop, Colorado Springs, CO 80906-4651 | 2017-12-20 |
| 1558877035 | Merry Hammack | Behavior Technician | 1330 Quail Lake Loop, Colorado Springs, CO 80906-4651 | 2017-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
| 1730720541 | Amanda Salinas | Massage Therapist | 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 | 2019-10-02 |
| 1225511488 | Sheila Meggison | Massage Therapist | 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 | 2018-09-12 |
| 1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
| 1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
| 1982103875 | Savannah Adeline Rentrop | Behavior Technician | 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 | 2018-02-06 |
| 1205335288 | Ross Knowlton | Behavior Technician | 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1942709845 | Adrienne Bohlen | Behavior Technician | 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
| 1225568470 | Larry Alwine | Counselor | 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 | 2017-06-19 |
| Find all providers in zip 80906 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970889 | Kelley Dyer Lcsw Inc. | Clinic/Center | 4793 N Splendid Cir, Colorado Springs, CO 80917-1681 | 2020-07-22 |
| 1538777610 | Abbey Westphal Lcsw Inc | Clinic/Center | 6270 Lehman Dr Ste 280, Colorado Springs, CO 80918-1446 | 2020-07-15 |
| 1376178517 | Alston Counseling Services LLC | Clinic/Center | 1255 Lake Plaza Dr Ste 115, Colorado Springs, CO 80906-3541 | 2020-03-09 |
| 1194366153 | Reaching Hands As Each One Teachings One | Clinic/Center | 4720 Galley Rd, Colorado Springs, CO 80915-2735 | 2019-10-01 |
| 1972166080 | Inner Hope Therapy | Clinic/Center | 2970 N. Academy Blvd. Suite 206, Colorado Springs, CO 80917-8091 | 2019-04-16 |
| 1790141984 | Family Care Center LLC | Clinic/Center | 2860 S Circle Dr Ste 109, Colorado Springs, CO 80906-4195 | 2016-01-05 |
| 1992752133 | Cedar Springs Hospital, Inc | Clinic/Center | 2135 Southgate Rd, Colorado Springs, CO 80906-2605 | 2006-05-30 |
| 1467079053 | Convenient Colorado Counseling LLC | Clinic/Center | 5155 Laredo Ridge Dr, Colorado Springs, CO 80922-2222 | 2020-06-29 |
| 1487277471 | Hope Mountain Behavioral Health | Clinic/Center | 1802 Chapel Hills Dr Ste A, Colorado Springs, CO 80920-3736 | 2020-05-25 |
| 1639701873 | The Divine Therapy and Wellness Center | Clinic/Center | 5376 Tomah Dr Ste 210, Colorado Springs, CO 80918-6968 | 2020-02-05 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80906 |
Please comment or provide details below to improve the information on HAVEN BEHAVIORAL OUTPATIENT SERVICES OF COLORADO, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.