| Fountain Wellness, Llc | |
|
6260 Lookout Rd Boulder CO 80301-3685 | |
| (720) 310-8731 | |
| Not Available |
| Full Name | Fountain Wellness, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6260 Lookout Rd, Boulder, Colorado |
| Authorized Official Name and Position | Nicole Bleau (OWNER) |
| Authorized Official Contact | 7203108731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountain Wellness, Llc 2762 Center Park Way Berthoud CO 80513-2712 Ph: (720) 310-8731 | Fountain Wellness, Llc 6260 Lookout Rd Boulder CO 80301-3685 Ph: (720) 310-8731 |
| NPI Number | 1710786025 |
|---|---|
| Provider Enumeration Date | 03/10/2025 |
| Last Update Date | 11/10/2025 |
| Certification Date | 11/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710786025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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