Provider Demographics
NPI:1548863376
Name:CHRISTINA ELAINE TINKER
Entity type:Organization
Organization Name:CHRISTINA ELAINE TINKER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TINKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-230-9060
Mailing Address - Street 1:5033 COUNTY ROAD 335 TRLR 85
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:CO
Mailing Address - Zip Code:81647-8621
Mailing Address - Country:US
Mailing Address - Phone:970-230-9060
Mailing Address - Fax:
Practice Address - Street 1:5033 COUNTY ROAD 335 TRLR 85
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:CO
Practice Address - Zip Code:81647-8621
Practice Address - Country:US
Practice Address - Phone:970-230-9060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty