Shadow Mountain Behavioral Health LLC.
Organization Active NPI Adult Mental Health Clinic/Center · Colorado Springs, CO
NPI 1831593318 · NPPES record last updated Oct 13, 2014
Key facts
- NPI
- 1831593318
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Mental Health Clinic/Center 261QM0850X
- Legal business name
- SHADOW MOUNTAIN BEHAVIORAL HEALTH LLC.
- Practice address
- 1155 Kelly Johnson Blvd
Suite 206
Colorado Springs, CO 80920-3932 - Phone
- (719) 229-5990
- NPI assigned
- Oct 13, 2014
- Organization subpart
- No
Authorized official
- Name
- William Hodson
- Title
- Clinical Director
- Phone
- (719) 465-4121
National Provider Directory
Locations
1155 Kelly Johnson Blvd
Ste 206
Colorado Springs, CO 80920
Phone (719) 229-5990
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Yes |
Addresses
Primary practice location
1155 Kelly Johnson Blvd
Suite 206
Colorado Springs, CO 80920-3932
Mailing address
1155 Kelly Johnson Blvd
Suite 206
Colorado Springs, CO 80920-3932
Phone (719) 229-5990
Other providers in Colorado Springs, CO
- Skye Seymour
- Hunter Shackelton
- Olivya Shackelton
- Dariush Shackiba
- Emily Shade
- Shadow Mountain LLC.
- Shadow Mountain LLC.
- Shadow Mountain Recovery
- Douglas R Shaeffer
- Peggy Shafaghi
All providers in Colorado Springs, CO · Adult Mental Health Clinic/Center in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.