Healthcare Provider Details

I. General information

NPI: 1447012273
Provider Name (Legal Business Name): HEATHER ROSE COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2024
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1019 39TH AVE STE M
GREELEY CO
80634-2501
US

IV. Provider business mailing address

1019 39TH AVE STE M
GREELEY CO
80634-2501
US

V. Phone/Fax

Practice location:
  • Phone: 970-702-3359
  • 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

VIII. Authorized Official

Name: HEATHER BOHLENDER
Title or Position: OWNER
Credential: LCSW
Phone: 970-702-3359