Healthcare Provider Details

I. General information

NPI: 1730813643
Provider Name (Legal Business Name): NEW LEAF PEER 2 PEER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2022
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10701 MELODY DR STE 308
NORTHGLENN CO
80234-4122
US

IV. Provider business mailing address

10701 MELODY DR STE 308
NORTHGLENN CO
80234-4122
US

V. Phone/Fax

Practice location:
  • Phone: 720-382-0011
  • Fax:
Mailing address:
  • Phone: 720-382-0011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: HAYDEN GHARIBYAR
Title or Position: OWNER
Credential:
Phone: 720-382-0011