Healthcare Provider Details

I. General information

NPI: 1235019340
Provider Name (Legal Business Name): ANEUMIND, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4697 E EVANS AVE STE 101
DENVER CO
80222-5136
US

IV. Provider business mailing address

4697 E EVANS AVE STE 101
DENVER CO
80222-5136
US

V. Phone/Fax

Practice location:
  • Phone: 720-370-6446
  • Fax:
Mailing address:
  • Phone: 720-370-6446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MELISSA J STOCK
Title or Position: OWNER & DIRECTOR OF OPERATIONS
Credential:
Phone: 720-370-6446