| North Range Behavioral Health | |
|
2930 11th Ave Evans CO 80620 | |
| (970) 347-2120 | |
| Not Available |
| Full Name | North Range Behavioral Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2930 11th Ave, Evans, Colorado |
| Authorized Official Name and Position | Larry Pottorff (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9703472373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Range Behavioral Health 1300 N 17th Ave Greely CO 80631-9584 Ph: (970) 347-2120 | North Range Behavioral Health 2930 11th Ave Evans CO 80620 Ph: (970) 347-2120 |
| NPI Number | 1336474584 |
|---|---|
| Provider Enumeration Date | 10/06/2009 |
| Last Update Date | 11/23/2020 |
| Certification Date | 11/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336474584 | NPI | - | NPPES |
| 50655248 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Cope Counseling & Consulting, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3935 28th Ave, Evans, CO 80620 Phone: 970-939-7416 | |
True Hope Counseling, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3221 Grenache St, Evans, CO 80634 Phone: 970-281-5162 Fax: 844-833-5676 |