Healthcare Provider Details

I. General information

NPI: 1194720656
Provider Name (Legal Business Name): ARAPAHOE MENTAL HEALTH CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 05/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 INVERNESS DR W
ENGLEWOOD CO
80112-5095
US

IV. Provider business mailing address

155 INVERNESS DR W
ENGLEWOOD CO
80112-5095
US

V. Phone/Fax

Practice location:
  • Phone: 720-707-6360
  • Fax: 303-749-4735
Mailing address:
  • Phone: 720-707-6360
  • Fax: 303-749-4735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0327
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1136-00
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. SHARON FISHER
Title or Position: REVENUE CYCLE DIRECTOR
Credential:
Phone: 720-707-6360