Healthcare Provider Details

I. General information

NPI: 1033030036
Provider Name (Legal Business Name): PHOEBE BOTSFORD LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3091 S JAMAICA CT STE 140
AURORA CO
80014-2647
US

IV. Provider business mailing address

3091 S JAMAICA CT STE 140
AURORA CO
80014-2647
US

V. Phone/Fax

Practice location:
  • Phone: 720-262-9683
  • Fax:
Mailing address:
  • Phone: 720-262-9683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC.0023985
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: