Healthcare Provider Details

I. General information

NPI: 1629900972
Provider Name (Legal Business Name): ALEAH CORDOBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 S COLORADO BLVD STE 100
DENVER CO
80222-3358
US

IV. Provider business mailing address

740 N SHERMAN ST APT 309
DENVER CO
80203-3513
US

V. Phone/Fax

Practice location:
  • Phone: 303-867-4600
  • Fax:
Mailing address:
  • Phone: 719-510-5277
  • 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: