Healthcare Provider Details

I. General information

NPI: 1831806611
Provider Name (Legal Business Name): VERSATILE THERAPY SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2022
Last Update Date: 10/30/2023
Certification Date: 12/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2594 W CRESTLINE AVE
LITTLETON CO
80120-1135
US

IV. Provider business mailing address

2594 W CRESTLINE AVE
LITTLETON CO
80120-1135
US

V. Phone/Fax

Practice location:
  • Phone: 720-248-7674
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AIMEE ELLINWOOD
Title or Position: LPC, LAC
Credential:
Phone: 540-200-5893