Healthcare Provider Details

I. General information

NPI: 1811842966
Provider Name (Legal Business Name): MERAKI HEALING CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

695 S COLORADO BLVD STE 230
DENVER CO
80246-8012
US

IV. Provider business mailing address

695 S COLORADO BLVD STE 230
DENVER CO
80246-8012
US

V. Phone/Fax

Practice location:
  • Phone: 720-295-4273
  • Fax:
Mailing address:
  • Phone: 720-295-4273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CASSIDY GALLEGOS
Title or Position: OWNER
Credential:
Phone: 720-295-4273