Healthcare Provider Details

I. General information

NPI: 1003504721
Provider Name (Legal Business Name): ALEXA MYLES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEX MYLES LSW

II. Dates (important events)

Enumeration Date: 05/01/2023
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 16TH ST STE 1460
DENVER CO
80202-5326
US

IV. Provider business mailing address

110 16TH ST STE 1460
DENVER CO
80202-5326
US

V. Phone/Fax

Practice location:
  • Phone: 720-460-1783
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0009927719
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: