Healthcare Provider Details

I. General information

NPI: 1295529352
Provider Name (Legal Business Name): PEACEFUL RIVERS COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2025
Last Update Date: 04/05/2025
Certification Date: 04/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5310 WARD RD STE 205
ARVADA CO
80002-1829
US

IV. Provider business mailing address

5310 WARD RD STE 205
ARVADA CO
80002-1829
US

V. Phone/Fax

Practice location:
  • Phone: 720-295-8107
  • Fax:
Mailing address:
  • Phone: 720-295-8107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: PRISCILLA BROWN
Title or Position: OWNER
Credential: LPC
Phone: 720-295-8107