Healthcare Provider Details

I. General information

NPI: 1720864309
Provider Name (Legal Business Name): CONCEPTS COUNSELING AND PSYCHOTHERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2023
Last Update Date: 09/07/2023
Certification Date: 09/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6105 S MAIN ST STE 219
AURORA CO
80016-5361
US

IV. Provider business mailing address

6105 S MAIN ST STE 219
AURORA CO
80016-5361
US

V. Phone/Fax

Practice location:
  • Phone: 720-319-7319
  • Fax: 303-379-4607
Mailing address:
  • Phone: 720-319-7319
  • Fax: 303-379-4607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: JOANNA IOANNIDES
Title or Position: OWNER/ THERAPIST
Credential: LCSW
Phone: 720-319-7319