Healthcare Provider Details

I. General information

NPI: 1154998607
Provider Name (Legal Business Name): THE WAY TO FREEDOM COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2021
Last Update Date: 06/04/2021
Certification Date: 06/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 RACE ST
DENVER CO
80206-2076
US

IV. Provider business mailing address

1311 RACE ST
DENVER CO
80206-2076
US

V. Phone/Fax

Practice location:
  • Phone: 303-250-0989
  • Fax:
Mailing address:
  • Phone: 303-250-0989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. SELAMAWIT BEYENE
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 303-250-0989