Healthcare Provider Details

I. General information

NPI: 1124950548
Provider Name (Legal Business Name): ALEXIS RAFAEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

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

3900 E MEXICO AVE STE 601
DENVER CO
80210-3940
US

IV. Provider business mailing address

2164 S DELAWARE ST
DENVER CO
80223-4136
US

V. Phone/Fax

Practice location:
  • Phone: 719-787-7937
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: