Healthcare Provider Details

I. General information

NPI: 1306777826
Provider Name (Legal Business Name): DENISE RENEE CARRILLO LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6793 W 51ST AVE APT 4
ARVADA CO
80002-4636
US

IV. Provider business mailing address

6793 W 51ST AVE APT 4
ARVADA CO
80002-4636
US

V. Phone/Fax

Practice location:
  • Phone: 720-290-2868
  • Fax:
Mailing address:
  • Phone: 720-290-2868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLSW.0009926677
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: