Healthcare Provider Details

I. General information

NPI: 1215232624
Provider Name (Legal Business Name): MAURA GUZY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2011
Last Update Date: 01/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 YORK ST
DENVER CO
80206-1431
US

IV. Provider business mailing address

1600 YORK ST
DENVER CO
80206-1431
US

V. Phone/Fax

Practice location:
  • Phone: 303-320-1989
  • Fax: 303-320-3987
Mailing address:
  • Phone: 303-320-1989
  • Fax: 303-320-3987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number7055
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: