Healthcare Provider Details

I. General information

NPI: 1194241984
Provider Name (Legal Business Name): TAPESTRY OF HOPE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2017
Last Update Date: 11/23/2023
Certification Date: 11/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6404 S QUEBEC ST BLDG 1
CENTENNIAL CO
80111-4628
US

IV. Provider business mailing address

6404 S QUEBEC ST BLDG 1
CENTENNIAL CO
80111-4628
US

V. Phone/Fax

Practice location:
  • Phone: 720-263-1088
  • Fax: 303-963-5456
Mailing address:
  • Phone: 720-263-1088
  • Fax: 303-963-5456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0013661
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0000824
License Number StateCO

VIII. Authorized Official

Name: PATRICIA MARLENE MULVANY
Title or Position: OWNER
Credential: MA, LPC, LAC
Phone: 303-981-2730