Healthcare Provider Details

I. General information

NPI: 1134094139
Provider Name (Legal Business Name): CHANGING PATHS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13693 E ILIFF AVE STE 250
AURORA CO
80014-6513
US

IV. Provider business mailing address

13693 E ILIFF AVE STE 250
AURORA CO
80014-6513
US

V. Phone/Fax

Practice location:
  • Phone: 720-878-1541
  • Fax:
Mailing address:
  • Phone: 720-878-1541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH PIERCE
Title or Position: CO-DIRECTOR
Credential: M.A LAC, LPC-S
Phone: 720-878-1541