MEDICARE: HUMAN TOGETHER COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	1041C0700X	Clinical Social Worker
3	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1073307492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUMAN TOGETHER COUNSELING LLC

Provider Business Mailing Address
First Line	:	11224 QUIVAS LOOP
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80234-2615
Country	:	US
Telephone Number	:	720-998-6276
Fax Number	:

Provider Business Practice Location Address
First Line	:	11224 QUIVAS LOOP
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80234-2615
Country	:	US
Telephone Number	:	720-998-6276
Fax Number	:

Authorized Official
Title or Position	:	SOCIAL WORKER
Name	:	STACEY GRAYE HOFFMAN HIATT
Credential	:	LCSW
Telephone Number	:	720-998-6276

Provider Enumeration Date	:	04/09/2025
Last Update Date	:	04/09/2025

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