Healthcare Provider Details

I. General information

NPI: 1023435351
Provider Name (Legal Business Name): EMILY BURKS M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2014
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 PARK AVE W
DENVER CO
80205-2103
US

IV. Provider business mailing address

1415 PARK AVE W
DENVER CO
80205-2103
US

V. Phone/Fax

Practice location:
  • Phone: 971-221-5028
  • Fax:
Mailing address:
  • Phone: 971-221-5028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0016998
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC11200
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: