MEDICARE: RETHRIVE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1326907247
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RETHRIVE LLC

Provider Business Mailing Address
First Line	:	23465 E PLATTE DR UNIT B
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80016-4220
Country	:	US
Telephone Number	:	720-341-9957
Fax Number	:

Provider Business Practice Location Address
First Line	:	23465 E PLATTE DR UNIT B
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80016-4220
Country	:	US
Telephone Number	:	720-341-9957
Fax Number	:

Authorized Official
Title or Position	:	MENTAL HEALTH THERAPIST
Name	:	MIMI OKYERE-TWUM
Credential	:
Telephone Number	:	720-341-9957

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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Directions to “RETHRIVE LLC ” Practice Location

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