Healthcare Provider Details

I. General information

NPI: 1205748597
Provider Name (Legal Business Name): COLORADO CLINICAL CONSULTANTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8455 E RADCLIFF AVE
DENVER CO
80237-2503
US

IV. Provider business mailing address

8455 E RADCLIFF AVE
DENVER CO
80237-2503
US

V. Phone/Fax

Practice location:
  • Phone: 720-495-4036
  • Fax:
Mailing address:
  • Phone: 720-495-4036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: COREY G COX
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: LPC, LAC
Phone: 720-495-4036