Healthcare Provider Details

I. General information

NPI: 1093304446
Provider Name (Legal Business Name): GUIDED WANDERINGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2021
Last Update Date: 07/05/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13761 E LEHIGH AVE APT F
AURORA CO
80014-6112
US

IV. Provider business mailing address

13761 E LEHIGH AVE APT F
AURORA CO
80014-6112
US

V. Phone/Fax

Practice location:
  • Phone: 303-859-7630
  • Fax:
Mailing address:
  • Phone: 303-859-7630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. PERRI CORVINO
Title or Position: OWNER
Credential: LCSW
Phone: 303-859-7630