Healthcare Provider Details
I. General information
NPI: 1952229296
Provider Name (Legal Business Name): CARNATION PSYCHOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/06/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9615 CANBERRA DR
HIGHLANDS RANCH CO
80130-7162
US
IV. Provider business mailing address
6855 S HAVANA ST STE 350
CENTENNIAL CO
80112-3868
US
V. Phone/Fax
- Phone: 720-833-8365
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANNE
SAURBER
Title or Position: PSYCHOLOGIST
Credential:
Phone: 720-833-8365