Organization
STABLESTRIDES
Active
Other names
Acts 19:11
Organization subpart
No
Provider details
NPI number
Authorized official
CHESTER DEANGELIS (CLINICAL SERVICES DIRECTOR)
(719) 495-3908
Entity
Organization
Contact information
Practice address
13620 HALLELUIAH TRL, ELBERT, CO 80106-9020
(719) 495-3908
(719) 494-1689
Mailing address
13620 HALLELUIAH TRL, ELBERT, CO 80106-9020
(719) 495-3908
(719) 494-1689
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
743
CO
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
01/19/2012
Last updated
11/27/2023
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