Healthcare Provider Details

I. General information

NPI: 1649079542
Provider Name (Legal Business Name): SARAH SKOLNICK CMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2025
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1008 DEPOT HILL RD STE 200
BROOMFIELD CO
80020-6724
US

IV. Provider business mailing address

12785 IVY ST
THORNTON CO
80602-4672
US

V. Phone/Fax

Practice location:
  • Phone: 720-634-6113
  • Fax:
Mailing address:
  • Phone: 303-810-9219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0020562
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: