Healthcare Provider Details

I. General information

NPI: 1003762410
Provider Name (Legal Business Name): SACRED WORK PSYCHOTHERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 E ARAPAHOE RD
CENTENNIAL CO
80112-1260
US

IV. Provider business mailing address

PO BOX 49
LITTLETON CO
80160-0049
US

V. Phone/Fax

Practice location:
  • Phone: 303-748-9747
  • Fax:
Mailing address:
  • Phone: 720-340-7683
  • Fax: 720-235-3397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LILLIAN JOSEFINA GONZALEZ
Title or Position: THERAPIST
Credential: LPC
Phone: 303-748-9747