Healthcare Provider Details

I. General information

NPI: 1821532680
Provider Name (Legal Business Name): EL CONSULTORIO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2016
Last Update Date: 07/25/2024
Certification Date: 07/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14901 E HAMPDEN AVE STE 100
AURORA CO
80014-5037
US

IV. Provider business mailing address

14901 E HAMPDEN AVE STE 100
AURORA CO
80014-5037
US

V. Phone/Fax

Practice location:
  • Phone: 720-260-4115
  • Fax:
Mailing address:
  • Phone: 720-260-4115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: PERLA ROCIO DURAN
Title or Position: CLINICAL DIRECTOR
Credential:
Phone: 720-260-4115