Healthcare Provider Details

I. General information

NPI: 1912709361
Provider Name (Legal Business Name): BACK ON TRACK COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2855 N SPEER BLVD STE D
DENVER CO
80211-4240
US

IV. Provider business mailing address

2855 N SPEER BLVD STE D
DENVER CO
80211-4240
US

V. Phone/Fax

Practice location:
  • Phone: 720-674-7652
  • Fax:
Mailing address:
  • Phone: 720-674-7652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. SELENA SANCHEZ
Title or Position: PSYCHOTHERAPIST
Credential: PHD, LAC, ICAADC
Phone: 983-218-5597