Healthcare Provider Details

I. General information

NPI: 1396383535
Provider Name (Legal Business Name): NEUROPTIMIZE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2019
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7921 SOUTHPARK PLZ STE 102
LITTLETON CO
80120-4506
US

IV. Provider business mailing address

2642 E 21ST ST STE 175
TULSA OK
74114-1734
US

V. Phone/Fax

Practice location:
  • Phone: 720-799-4564
  • Fax:
Mailing address:
  • Phone: 720-799-4564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: RACHEL LAMBERT
Title or Position: MEMBER
Credential:
Phone: 303-588-6255