Basic Information
| Provider Information | |||||||||
| NPI: | 1730856493 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CONSULTANTS FOR CHILDREN, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 265 S HARLAN ST | ||||||||
| Address2: | |||||||||
| City: | LAKEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802262261 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7202721289 | ||||||||
| FaxNumber: | 8883003081 | ||||||||
| Practice Location | |||||||||
| Address1: | 265 S HARLAN ST | ||||||||
| Address2: | |||||||||
| City: | LAKEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802262261 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7202721289 | ||||||||
| FaxNumber: | 8883003081 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2021 | ||||||||
| LastUpdateDate: | 08/30/2021 | ||||||||
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| AuthorizedOfficialLastName: | THARP | ||||||||
| AuthorizedOfficialFirstName: | ROBYN | ||||||||
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| AuthorizedOfficialTitleorPosition: | COMPLIANCE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 3035860470 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 08/11/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | N | Agencies | Community/Behavioral Health | 101YM0800X | N | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | Mental Health | 103K00000X | N | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Behavioral Analyst | 106S00000X | N | 193200000X MULTI-SPECIALTY GROUP | 385H00000X | Y | Respite Care Facility | Respite Care |
ID Information
| ID | Type | State | Issuer | Description | 76202283 | 05 | CO | MEDICAID |