Healthcare Provider Details

I. General information

NPI: 1144772401
Provider Name (Legal Business Name): ENSO COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2016
Last Update Date: 11/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 CENTRAL ST UNIT 503
DENVER CO
80211-4248
US

IV. Provider business mailing address

1776 S JACKSON ST STE 802
DENVER CO
80210-3810
US

V. Phone/Fax

Practice location:
  • Phone: 970-319-7986
  • Fax:
Mailing address:
  • Phone: 970-319-7986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09924270
License Number StateCO

VIII. Authorized Official

Name: MS. ASHLEY NELSON
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 970-319-7986