Healthcare Provider Details

I. General information

NPI: 1003744913
Provider Name (Legal Business Name): CANYONS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

7505 VILLAGE SQUARE DR STE 207
CASTLE PINES CO
80108-3693
US

IV. Provider business mailing address

2953 DRAGONFLY CT
CASTLE ROCK CO
80109-8660
US

V. Phone/Fax

Practice location:
  • Phone: 303-323-4722
  • Fax:
Mailing address:
  • Phone: 720-257-3406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JOEL LAOS
Title or Position: MENTAL HEALTH THERAPIST
Credential: MA, LPCC
Phone: 720-257-3406