Children'S Trauma Center, LLC

Organization Active NPI Community/Behavioral Health Agency · Conifer, CO

NPI 1083435051 · NPPES record last updated May 8, 2025

Key facts

NPI
1083435051
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
CHILDREN'S TRAUMA CENTER, LLC
Practice address
26719 Pleasant Park Rd Unit 120
Conifer, CO 80433-7753
Phone
(720) 262-1279
NPI assigned
Oct 22, 2024
Organization subpart
No

Authorized official

Name
Karen Renee Blackwell, LCSW
Title
Executive Director
Phone
(720) 262-1279

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Children'S Trauma Center LLC (3 organizations share this tax ID)

Locations

26719 Pleasant Park Rd
Unit 120
Conifer, CO 80433
Phone (303) 838-7337

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YM0800X
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

26719 Pleasant Park Rd Unit 120
Conifer, CO 80433-7753

Mailing address

26719 Pleasant Park Rd Unit 120
Conifer, CO 80433-7753
Phone (720) 262-1279

Other practice location 1

295 5th St Ste 8
Fairplay, CO 80440-5016
Phone (720) 262-1279

Other providers in Conifer, CO

All providers in Conifer, CO · Community/Behavioral Health Agency in Colorado

Sources for this page

Verify at the official NPI Registry.