Healthcare Provider Details

I. General information

NPI: 1124786322
Provider Name (Legal Business Name): ERIKA GARDNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2021
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6901 S YOSEMITE ST STE 108
CENTENNIAL CO
80112-1413
US

IV. Provider business mailing address

8220 S TRAILS EDGE WAY
CENTENNIAL CO
80112-4781
US

V. Phone/Fax

Practice location:
  • Phone: 720-335-5479
  • Fax:
Mailing address:
  • Phone: 303-907-4740
  • Fax:

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:
Title or Position:
Credential:
Phone: