Healthcare Provider Details

I. General information

NPI: 1891647475
Provider Name (Legal Business Name): UNWIRED THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2026
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 TRINITY WAY UNIT E
GRAND JUNCTION CO
81505-1627
US

IV. Provider business mailing address

655 TRINITY WAY UNIT E
GRAND JUNCTION CO
81505-1627
US

V. Phone/Fax

Practice location:
  • Phone: 970-550-2881
  • Fax:
Mailing address:
  • Phone: 970-550-2881
  • 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 Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: EDEN ELSON
Title or Position: OWNER
Credential:
Phone: 970-550-2881