Healthcare Provider Details

I. General information

NPI: 1932993060
Provider Name (Legal Business Name): AVAIL PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2025
Last Update Date: 04/30/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5606 N OLDE WADSWORTH BLVD #211
ARVADA CO
80002-2546
US

IV. Provider business mailing address

5606 N OLDE WADSWORTH BLVD #211
ARVADA CO
80002-2546
US

V. Phone/Fax

Practice location:
  • Phone: 303-828-6869
  • Fax: 866-757-5778
Mailing address:
  • Phone: 303-828-6869
  • Fax: 866-757-5778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ASHLEE L ACKELSON
Title or Position: OWNER/MBR
Credential: LCSW
Phone: 303-828-6869