Healthcare Provider Details

I. General information

NPI: 1235034554
Provider Name (Legal Business Name): SIMON FLOW THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5681 E MELODY WAY
CASTLE ROCK CO
80104-8781
US

IV. Provider business mailing address

PO BOX 205
CASTLE ROCK CO
80104-0205
US

V. Phone/Fax

Practice location:
  • Phone: 720-317-3238
  • Fax:
Mailing address:
  • Phone: 719-301-6783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: SOPHIE SIMON
Title or Position: OWNER
Credential: LPCC
Phone: 719-301-6783