Healthcare Provider Details

I. General information

NPI: 1134023955
Provider Name (Legal Business Name): COURTNEY L ALLEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 UNION BLVD STE 250
LAKEWOOD CO
80228-1556
US

IV. Provider business mailing address

300 S BROADWAY STE 200-756
DENVER CO
80209-1512
US

V. Phone/Fax

Practice location:
  • Phone: 970-237-4990
  • Fax: 800-377-1553
Mailing address:
  • Phone: 720-807-2885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC.0023874
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: