Healthcare Provider Details

I. General information

NPI: 1922679471
Provider Name (Legal Business Name): RAICES THERAPY SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2021
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15357 E 118TH AVE
COMMERCE CITY CO
80022-9861
US

IV. Provider business mailing address

15357 E 118TH AVE
COMMERCE CITY CO
80022-9861
US

V. Phone/Fax

Practice location:
  • Phone: 720-338-7401
  • Fax:
Mailing address:
  • Phone: 720-338-7401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SILVIA YARELI LAZARO-ESTALA
Title or Position: OWNER
Credential: LCSW
Phone: 720-338-7401