Healthcare Provider Details
I. General information
NPI: 1023979291
Provider Name (Legal Business Name): INNER SUN THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/18/2025
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1905 N SHERMAN ST STE 200-1340
DENVER CO
80203-1140
US
IV. Provider business mailing address
1905 N SHERMAN ST STE 200-1340
DENVER CO
80203-1140
US
V. Phone/Fax
- Phone: 720-282-1199
- Fax:
- Phone: 720-282-1199
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LETICIA
ENCARNACION
Title or Position: OWNER
Credential: LPC
Phone: 720-282-1199