Healthcare Provider Details

I. General information

NPI: 1376216721
Provider Name (Legal Business Name): MILE HIGH WOMEN'S WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2021
Last Update Date: 07/30/2021
Certification Date: 07/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5984 FULTON ST
DENVER CO
80238-4130
US

IV. Provider business mailing address

5984 FULTON ST
DENVER CO
80238-4130
US

V. Phone/Fax

Practice location:
  • Phone: 720-253-2665
  • Fax:
Mailing address:
  • Phone: 720-253-2665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: LAUREN BRITTSAN
Title or Position: THERAPIST
Credential: LPC, PMH-C
Phone: 720-253-2665