Healthcare Provider Details

I. General information

NPI: 1922564525
Provider Name (Legal Business Name): CATALYSS COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2019
Last Update Date: 03/02/2024
Certification Date: 03/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 W HAMPDEN AVE STE 375
ENGLEWOOD CO
80110-2221
US

IV. Provider business mailing address

750 W HAMPDEN AVE STE 375
ENGLEWOOD CO
80110-2221
US

V. Phone/Fax

Practice location:
  • Phone: 303-578-6318
  • Fax:
Mailing address:
  • Phone: 303-578-6318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SHANNON HEERS
Title or Position: OWNER
Credential: LPC
Phone: 720-985-1153