Healthcare Provider Details

I. General information

NPI: 1427996149
Provider Name (Legal Business Name): TEREI KARDIAN CHRISTIAN COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3124 S PARKER RD A2-129
AURORA CO
80014
US

IV. Provider business mailing address

3124 S PARKER RD A2-129
AURORA CO
80014
US

V. Phone/Fax

Practice location:
  • Phone: 720-634-6997
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: GABRIEL WATKINS
Title or Position: DIRECTOR
Credential:
Phone: 720-634-6997