Healthcare Provider Details

I. General information

NPI: 1578474185
Provider Name (Legal Business Name): APOTHEOSIS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22010 E AURORA PKWY UNIT 1431
AURORA CO
80016-6285
US

IV. Provider business mailing address

1500 N GRANT ST
DENVER CO
80203-1859
US

V. Phone/Fax

Practice location:
  • Phone: 720-817-5372
  • Fax: 303-590-3928
Mailing address:
  • Phone: 720-817-5372
  • Fax: 303-590-3928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KAHESHA RICARD
Title or Position: FOUNDER
Credential: APRN, PMHNP
Phone: 720-817-5372