Healthcare Provider Details

I. General information

NPI: 1396531570
Provider Name (Legal Business Name): LYNNA BORDEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2025
Last Update Date: 04/16/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 S CHERRY ST STE 810
GLENDALE CO
80246-1235
US

IV. Provider business mailing address

28 W MAPLE AVE
DENVER CO
80223-1839
US

V. Phone/Fax

Practice location:
  • Phone: 720-639-7724
  • Fax:
Mailing address:
  • Phone: 516-238-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: