Healthcare Provider Details

I. General information

NPI: 1376408641
Provider Name (Legal Business Name): ENVERITAS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 S CLARKSON ST
ENGLEWOOD CO
80113-7501
US

IV. Provider business mailing address

3600 S CLARKSON ST
ENGLEWOOD CO
80113-7501
US

V. Phone/Fax

Practice location:
  • Phone: 303-517-1287
  • Fax:
Mailing address:
  • Phone: 303-517-1287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. MKALE WARNER
Title or Position: CEO
Credential: QBHA
Phone: 303-517-1287