Healthcare Provider Details

I. General information

NPI: 1114560687
Provider Name (Legal Business Name): RACHEL BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2019
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1777 S BELLAIRE ST STE 475
DENVER CO
80222-4344
US

IV. Provider business mailing address

1410 LEWIS ST
LAKEWOOD CO
80215-4548
US

V. Phone/Fax

Practice location:
  • Phone: 720-258-6310
  • Fax:
Mailing address:
  • Phone: 715-577-6920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: