Healthcare Provider Details

I. General information

NPI: 1306265780
Provider Name (Legal Business Name): THE HIGHLANDS NEUROFEEDBACK & COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2014
Last Update Date: 04/22/2022
Certification Date: 04/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 W DRY CREEK CIR STE 600
LITTLETON CO
80120-8066
US

IV. Provider business mailing address

PO BOX 1162
LITTLETON CO
80160-1162
US

V. Phone/Fax

Practice location:
  • Phone: 720-648-8123
  • Fax:
Mailing address:
  • Phone: 720-648-8123
  • Fax: 303-997-6663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number813
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number State

VIII. Authorized Official

Name: SHARLA RAE STEPHENS
Title or Position: MENTAL HEALTH THERAPIST/NEUROFEEDBA
Credential: L.M.F.T.
Phone: 720-648-8123