Healthcare Provider Details

I. General information

NPI: 1124937222
Provider Name (Legal Business Name): AVA DEANN GOLDSTEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W COUNTY LINE RD STE 250
HIGHLANDS RANCH CO
80129-2342
US

IV. Provider business mailing address

800 S VALENTIA ST UNIT 426
DENVER CO
80247-2508
US

V. Phone/Fax

Practice location:
  • Phone: 720-696-9460
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0024660
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: