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PROVIDENCE RECOVERY SERVICE OF COLORADO LLC
NPI 1306408216
Counselor - Addiction (Substance Use Disorder) in Craig, CO

Active since July 01, 2019
390 YAMPA BOULEVARD, CRAIG, CO 81625(709) 824-5433 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2020, Feb 14, 2020, Oct 17, 2019 and 2 more (5 updates tracked since 2019).

About Providence Recovery Service Of Colorado Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE RECOVERY SERVICE OF COLORADO LLC (NPI 1306408216) is a healthcare organization registered as an addiction (substance use disorder) in Craig, Colorado and active in the NPI registry since July 2019. The organization lists Tina Rene Vest, Billing Director, as its authorized official.

NPPES Registry Identity

NPI1306408216
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NamePROVIDENCE RECOVERY SERVICE OF COLORADO LLC
Location Address390 YAMPA BOULEVARDCraig, CO 81625-2600
Mailing AddressPo Box 895Craig, CO 81626-0895 · (970) 878-9958
Phone(709) 824-5433
Organization SubpartNo
Authorized OfficialTina Rene VestBilling Director · (662) 625-7111
Enumeration DateJuly 1, 2019
Last NPPES UpdateFebruary 26, 20205 updates tracked since enumeration
✔ NPI 1306408216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
390 YAMPA BOULEVARD, Craig, CO 81625
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Recovery Service Of Colorado LLC's NPI number?

The NPI number for Providence Recovery Service Of Colorado LLC is 1306408216. It was assigned to this organization in the NPPES registry on July 1, 2019.

Where is Providence Recovery Service Of Colorado LLC located?

Providence Recovery Service Of Colorado LLC is located at 390 Yampa Boulevard, Craig, CO 81625. The listed phone number is (709) 824-5433.

What is Providence Recovery Service Of Colorado LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Providence Recovery Service Of Colorado LLC was last updated on February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.