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ETHAN SELVIG LLC
NPI 1417409442
Community/Behavioral Health in Broomfield, CO

Active since October 25, 2016
80 GARDEN CTR STE 222, BROOMFIELD, CO 80020(724) 713-1016 Get Directions Write a Review

NPPES record last updated: October 25, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ethan Selvig Llc NPPES

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

ETHAN SELVIG LLC (NPI 1417409442) is a healthcare organization registered as a community/behavioral health in Broomfield, Colorado and active in the NPI registry since October 2016. The organization lists Ethan Selvig, Owner, as its authorized official.

NPPES Registry Identity

NPI1417409442
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameETHAN SELVIG LLC
Location Address80 GARDEN CTR STE 222Broomfield, CO 80020-1735
Mailing Address80 Garden Ctr Ste 222Broomfield, CO 80020-1735
Phone(724) 713-1016
Organization SubpartNo
Authorized OfficialEthan SelvigOwner · (724) 713-1016
Enumeration DateOctober 25, 2016
✔ NPI 1417409442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in CO · 1686
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
80 GARDEN CTR STE 222, Broomfield, CO 80020
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BRITTANY SPARKS RDN, CSR
Dietitian, Registered (Nutrition, Renal)
80 GARDEN CTR STE 222
BROOMFIELD, CO 80020
Broomfield County (916) 300-6904

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 Ethan Selvig LLC's NPI number?

The NPI number for Ethan Selvig LLC is 1417409442. It was assigned to this organization in the NPPES registry on October 25, 2016.

Where is Ethan Selvig LLC located?

Ethan Selvig LLC is located at 80 Garden Ctr Ste 222, Broomfield, CO 80020. The listed phone number is (724) 713-1016.

What is Ethan Selvig LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Ethan Selvig LLC was last updated on October 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.