Healthcare Provider Details

I. General information

NPI: 1033052352
Provider Name (Legal Business Name): METAWELL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2026
Last Update Date: 04/11/2026
Certification Date: 04/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1191 POPLAR ST
DENVER CO
80220-3045
US

IV. Provider business mailing address

1191 POPLAR ST
DENVER CO
80220-3045
US

V. Phone/Fax

Practice location:
  • Phone: 719-789-5854
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER SHEEDY
Title or Position: OWNWER
Credential: LAC
Phone: 719-789-5854