MEDICARE: GOOD FORTUNES 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	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1679379051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD FORTUNES LLC

Provider Business Mailing Address
First Line	:	19958 E UNION DR
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80015-3493
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2345 S TROY CT
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-3321
Country	:	US
Telephone Number	:	720-957-2388
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TROY RASMUSSSEN
Credential	:
Telephone Number	:	720-957-2388

Provider Enumeration Date	:	02/24/2025
Last Update Date	:	02/24/2025

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Directions to “GOOD FORTUNES LLC ” Practice Location

Language	Start Address	Practice Location

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