Healthcare Provider Details

I. General information

NPI: 1063332419
Provider Name (Legal Business Name): A NEW EXPERIENCE CHILD AND FAMILY COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 BRODIE AVE
ESTES PARK CO
80517-5428
US

IV. Provider business mailing address

3315 GLADE RD
LOVELAND CO
80538-9432
US

V. Phone/Fax

Practice location:
  • Phone: 720-384-4747
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: LAUREN PUCCI
Title or Position: BUSINESS OWNER
Credential: LPC
Phone: 720-384-4747