Healthcare Provider Details

I. General information

NPI: 1033030143
Provider Name (Legal Business Name): THERAPY WITH IYA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1780 S BELLAIRE ST STE 801
DENVER CO
80222-4328
US

IV. Provider business mailing address

1155 ROSEMARY ST APT F
DENVER CO
80220-3169
US

V. Phone/Fax

Practice location:
  • Phone: 720-297-3769
  • Fax:
Mailing address:
  • Phone: 720-297-3769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DOROTHY JACKSON
Title or Position: THERAPIST
Credential: LAC, LPCC
Phone: 720-297-3769