OrganizationActive
Sage Space Retreat LLC
NPI 1043077092 · Clinical Social Worker · Longmont, CO
Provider details
- NPI number
- 1043077092
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Elena Georgouses, Co-Owner/Clinical Social Worker(970) 471-2297
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8536 Foxhaven Dr.
Longmont, CO 80503-8698
Phone: (720) 963-8111
Street-level locationGet directions
Mailing address
8536 Foxhaven Dr.
Longmont, CO 80503-8698
Registry dates
- Enumerated
- 2024-03-05
- Last updated
- 2024-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.