ANTELOPE RECOVERY LLC
NPI 1174225031
Clinic/Center - Adolescent and Children Mental Health in Boulder, CO
- Organization
- Clinic/Center
- Adolescent and Children Mental Health
About ANTELOPE RECOVERY LLC
This page provides the complete NPI Profile along with additional information for Antelope Recovery Llc, a provider established in Boulder, Colorado operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1174225031 assigned on March 2023. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Antelope Recovery Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Shelby Robbins (Founder)
- NPI
- 1174225031 Verify this NPI
- Provider Name
- ANTELOPE RECOVERY LLC
- Entity Type
- Organization
- Location Address
- 1035 PEARL STREET SUITE 313 BOULDER, CO 80302
- Location Phone
- (303) 476-1488
- Mailing Address
- 1035 PEARL ST STE 313 BOULDER, CO 80302
- Mailing Phone
- (303) 476-1488
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-21-2023
- Last Update Date
- 03-21-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Adolescent and Children Mental Health
- Taxonomy Code
- 261QM0855X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174225031, enumerated as an "organization" on March 21, 2023.
The provider is located at 1035 PEARL STREET SUITE 313 BOULDER, CO 80302 and the phone number is (303) 476-1488.
Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.
