Healthcare Provider Details

I. General information

NPI: 1942770318
Provider Name (Legal Business Name): RELATE FAMILY THERAPY AND COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2018
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 INVERNESS DR S STE 201
CENTENNIAL CO
80112-6012
US

IV. Provider business mailing address

327 INVERNESS DR S STE 201
CENTENNIAL CO
80112-6012
US

V. Phone/Fax

Practice location:
  • Phone: 303-954-9809
  • Fax:
Mailing address:
  • Phone: 303-954-9809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JASMYNE A KETTWICK
Title or Position: EXECUTIVE DIRECTOR/THERAPIST
Credential: LMFT, RPT, CSST
Phone: 303-954-9809