Healthcare Provider Details

I. General information

NPI: 1669309720
Provider Name (Legal Business Name): AUDREY HORT LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14291 E 4TH AVE STE 200
AURORA CO
80011-8724
US

IV. Provider business mailing address

1451 24TH ST APT 385
DENVER CO
80205-2162
US

V. Phone/Fax

Practice location:
  • Phone: 720-716-5808
  • Fax:
Mailing address:
  • Phone: 262-349-7496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0024638
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: