Healthcare Provider Details

I. General information

NPI: 1619871662
Provider Name (Legal Business Name): ELEPHANT IN THE ROOM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 E ARAPAHOE RD STE 220
CENTENNIAL CO
80112-1268
US

IV. Provider business mailing address

7596 W JEWELL AVE STE 1-202 SUITE 1-202
LAKEWOOD CO
80232-6889
US

V. Phone/Fax

Practice location:
  • Phone: 719-223-3261
  • Fax: 844-412-7875
Mailing address:
  • Phone: 719-223-3261
  • Fax: 844-412-7875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: ZINA ORTIZ
Title or Position: CEO/FOUNDER
Credential:
Phone: 425-495-1183