Healthcare Provider Details

I. General information

NPI: 1316141765
Provider Name (Legal Business Name): ORAROSE COUNSELING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1776 S JACKSON ST STE 208
DENVER CO
80210-3802
US

IV. Provider business mailing address

1776 S JACKSON ST STE 208
DENVER CO
80210-3802
US

V. Phone/Fax

Practice location:
  • Phone: 303-349-3485
  • Fax:
Mailing address:
  • Phone: 303-349-3485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number101YMO800X
License Number StateCO

VIII. Authorized Official

Name: SUZANNE ORAHOOD
Title or Position: CLINICAL NURSE SPECIALIST
Credential: RN,CNS
Phone: 303-349-3485