Healthcare Provider Details

I. General information

NPI: 1194225417
Provider Name (Legal Business Name): WELLNESS CONNECTIONS COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2018
Last Update Date: 01/10/2020
Certification Date: 01/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4340 E KENTUCKY AVE STE 365
GLENDALE CO
80246-2075
US

IV. Provider business mailing address

3800 BUCHTEL BLVD UNIT 100333
DENVER CO
80250-7514
US

V. Phone/Fax

Practice location:
  • Phone: 720-722-1392
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ALLISON STEWART
Title or Position: OWNER
Credential:
Phone: 720-722-1392