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Organization
FOUNTAIN WELLNESS, LLC
Active
Organization
FOUNTAIN WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BLEAU (OWNER)
(720) 310-8731
Entity
Organization
Contact information
Practice address
6260 LOOKOUT RD, BOULDER, CO 80301-3685
(720) 310-8731
Mailing address
2762 CENTER PARK WAY, BERTHOUD, CO 80513-2712
(720) 310-8731
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
11/10/2025
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