Healthcare Provider Details
I. General information
NPI: 1760306872
Provider Name (Legal Business Name): FOUR ELEMENTS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1650 38TH ST STE 202W
BOULDER CO
80301-2637
US
IV. Provider business mailing address
1650 38TH ST STE 202W
BOULDER CO
80301-2637
US
V. Phone/Fax
- Phone: 303-225-1028
- Fax:
- Phone: 303-225-1028
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALEX
ARTIO
Title or Position: THERAPIST
Credential: JD, MBA, LPC
Phone: 303-550-3817