Healthcare Provider Details
I. General information
NPI: 1518713023
Provider Name (Legal Business Name): ACAPELLA COUNSELING INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/25/2024
Last Update Date: 04/25/2024
Certification Date: 04/25/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18909 E WARREN CIR # A-204
AURORA CO
80013-5971
US
IV. Provider business mailing address
18909 E WARREN CIR # A-204
AURORA CO
80013-5971
US
V. Phone/Fax
- Phone: 720-936-3818
- Fax:
- Phone: 720-936-3818
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YANA
KILGORE
Title or Position: OWNER
Credential: MA, LAC
Phone: 720-936-3818