Healthcare Provider Details

I. General information

NPI: 1134040397
Provider Name (Legal Business Name): COACHING PLUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13590 E MISSISSIPPI AVE
AURORA CO
80012-3588
US

IV. Provider business mailing address

13590 E MISSISSIPPI AVE
AURORA CO
80012-3588
US

V. Phone/Fax

Practice location:
  • Phone: 440-530-8781
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL CROSSLAND
Title or Position: OWNER
Credential:
Phone: 440-530-8781