Healthcare Provider Details

I. General information

NPI: 1679324354
Provider Name (Legal Business Name): ANAIS CAROLINA RINCON BERMUDEZ LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANAIS RINCON

II. Dates (important events)

Enumeration Date: 03/29/2024
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N GRANT ST STE R
DENVER CO
80203-1859
US

IV. Provider business mailing address

4847 S PICADILLY CT
AURORA CO
80015-2576
US

V. Phone/Fax

Practice location:
  • Phone: 786-608-5730
  • Fax:
Mailing address:
  • Phone: 786-608-5730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0023700
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: