Healthcare Provider Details

I. General information

NPI: 1750271177
Provider Name (Legal Business Name): SUSANA ALBADRI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4670 W NEVADA PL. UNIT A
DENVER CO
80219-2674
US

IV. Provider business mailing address

4670 W NEVADA PL. UNIT A
DENVER CO
80219-2674
US

V. Phone/Fax

Practice location:
  • Phone: 720-936-6196
  • Fax:
Mailing address:
  • Phone: 720-446-8306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: SUSANA ALBADRI
Title or Position: LICENSE PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 720-446-8306