Healthcare Provider Details

I. General information

NPI: 1245166909
Provider Name (Legal Business Name): AUDREY BURRISS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7535 E HAMPDEN AVE STE 352
DENVER CO
80231-4838
US

IV. Provider business mailing address

7535 E HAMPDEN AVE STE 352
DENVER CO
80231-4838
US

V. Phone/Fax

Practice location:
  • Phone: 720-443-1021
  • Fax:
Mailing address:
  • Phone: 720-443-1021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0000002414
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: