Healthcare Provider Details

I. General information

NPI: 1558956045
Provider Name (Legal Business Name): KIMBERLEE YALANGO COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2021
Last Update Date: 01/31/2022
Certification Date: 01/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5335 W 48TH AVE STE 500
DENVER CO
80212-2732
US

IV. Provider business mailing address

5335 W 48TH AVE STE 500
DENVER CO
80212-2732
US

V. Phone/Fax

Practice location:
  • Phone: 720-790-4717
  • Fax:
Mailing address:
  • Phone: 720-790-4717
  • 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: KIMBERLEE YALANGO
Title or Position: PSYCHOLOGIST
Credential: PHD
Phone: 570-447-4991