Healthcare Provider Details

I. General information

NPI: 1174441414
Provider Name (Legal Business Name): SEAN STEVEN SUTHERLAND
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13731 E RICE PL STE 200
AURORA CO
80015-1077
US

IV. Provider business mailing address

1758 PERIDOT LN
CASTLE ROCK CO
80108-7736
US

V. Phone/Fax

Practice location:
  • Phone: 720-949-1707
  • Fax:
Mailing address:
  • Phone: 720-244-8189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0024963
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: