MEDICARE: MERAKI HEALING CENTER, PLLC

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	101YP2500X	Professional Counselor
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1811842966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERAKI HEALING CENTER, PLLC

Provider Business Mailing Address
First Line	:	695 S COLORADO BLVD STE 230
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80246-8012
Country	:	US
Telephone Number	:	720-295-4273
Fax Number	:

Provider Business Practice Location Address
First Line	:	695 S COLORADO BLVD STE 230
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80246-8012
Country	:	US
Telephone Number	:	720-295-4273
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CASSIDY GALLEGOS
Credential	:
Telephone Number	:	720-295-4273

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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