Healthcare Provider Details

I. General information

NPI: 1811624331
Provider Name (Legal Business Name): REGIS UNIVERSITY OFFICE OF COUNSELING AND PERSONAL DEVELOPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2022
Last Update Date: 08/04/2022
Certification Date: 08/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 REGIS BLVD # F-12
DENVER CO
80221-1099
US

IV. Provider business mailing address

3333 REGIS BLVD
DENVER CO
80221-1099
US

V. Phone/Fax

Practice location:
  • Phone: 303-458-3507
  • Fax: 303-964-5406
Mailing address:
  • Phone: 303-458-3507
  • 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: ANJANETTE SURMA
Title or Position: ASSOCIATE DIRECTOR
Credential: LPC
Phone: 303-458-3507