Healthcare Provider Details

I. General information

NPI: 1750206033
Provider Name (Legal Business Name): KIARA ROSE TENEYUQUE LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
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: 720-449-4121
  • Fax: 855-719-2549
Mailing address:
  • Phone: 720-449-4121
  • Fax: 855-719-2549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSWC.0000002740
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: