Healthcare Provider Details

I. General information

NPI: 1972424497
Provider Name (Legal Business Name): ROCKY MOUNTAIN RESILIENCE COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7120 E ORCHARD RD STE 255
CENTENNIAL CO
80111-1722
US

IV. Provider business mailing address

141 SCHOOLEY RD
BAILEY CO
80421-1319
US

V. Phone/Fax

Practice location:
  • Phone: 720-263-2542
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: THOMAS HEADLE
Title or Position: OWNER/ PSYCHOTHERAPIST
Credential: LCSW
Phone: 720-263-2542