Healthcare Provider Details

I. General information

NPI: 1346722543
Provider Name (Legal Business Name): ALYSHA KLEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALYSHA MACHUTA

II. Dates (important events)

Enumeration Date: 09/04/2018
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12001 W 63RD PL UNIT 101
ARVADA CO
80004-4034
US

IV. Provider business mailing address

12001 W 63RD PL UNIT 101
ARVADA CO
80004-4034
US

V. Phone/Fax

Practice location:
  • Phone: 720-738-7185
  • Fax:
Mailing address:
  • Phone: 720-738-7185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09933568
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: