Healthcare Provider Details

I. General information

NPI: 1518095298
Provider Name (Legal Business Name): CENTUS COUNSELING AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 08/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1385 S COLORADO BLVD # A210
DENVER CO
80222-3304
US

IV. Provider business mailing address

1385 S COLORADO BLVD # A210
DENVER CO
80222-3304
US

V. Phone/Fax

Practice location:
  • Phone: 303-639-5240
  • Fax: 303-639-5243
Mailing address:
  • Phone: 303-639-5240
  • Fax: 303-639-5243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9558
License Number StateCO

VIII. Authorized Official

Name: WENDY FELKER
Title or Position: OFFICE ADMIN
Credential:
Phone: 303-639-5240