Healthcare Provider Details

I. General information

NPI: 1932876216
Provider Name (Legal Business Name): WELLCOVA HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2021
Last Update Date: 12/16/2021
Certification Date: 12/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8101 E LOWRY BLVD
DENVER CO
80230-7196
US

IV. Provider business mailing address

90 MADISON ST STE 704
DENVER CO
80206-5416
US

V. Phone/Fax

Practice location:
  • Phone: 970-924-0570
  • Fax:
Mailing address:
  • Phone: 970-924-0570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY COLNA
Title or Position: OWNER
Credential: LCSW
Phone: 970-924-0570