Soaring Eagles Center For Autism

LBN: Soaring Eagles Center For Autism
Soaring Eagles Center For Autism is an health care organization with primary practice located at 125 W Palmer Lake Dr , Pueblo West CO 81007-2876. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Soaring Eagles Center For Autism can be contacted via phone (719) 547-8803, or through Colvin, Karen W. via phone (719) 547-8803.

Contact Information

Primary practice address
125 W Palmer Lake Dr Pueblo West CO 81007-2876
Phone: (719) 547-8803
Fax: (719) 547-8806
Website:
Map and Directions
Authorized official contact:
Name: Colvin, Karen W. Doctor of Medicine (MD)
Phone: (719) 547-8803

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 34666 Colorado
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-17-30000 Colorado
Agencies / Community/Behavioral Health 251S00000X 34666 Colorado

Profile Details

NPI number 1225207400
LBN Legal business name Soaring Eagles Center For Autism
DBA Doing business as
Authorized official Colvin, Karen W. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2008
Last updated Mar 26th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225207400 NPPES
Colorado MEDICAID 80986226

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