Healthcare Provider Details

I. General information

NPI: 1871226332
Provider Name (Legal Business Name): REBECCA MORAVEC COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2022
Last Update Date: 07/01/2022
Certification Date: 07/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1780 S BELLAIRE ST STE 485
DENVER CO
80222-4326
US

IV. Provider business mailing address

1780 S BELLAIRE ST STE 485
DENVER CO
80222-4326
US

V. Phone/Fax

Practice location:
  • Phone: 720-767-9808
  • Fax:
Mailing address:
  • Phone: 720-767-9808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. REBECCA MORAVEC
Title or Position: OWNER
Credential: LPC, LMFT
Phone: 720-373-0799