Healthcare Provider Details

I. General information

NPI: 1730096488
Provider Name (Legal Business Name): MILLBROOK COUNSELING SERVICES, ILLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19641 E PARKER SQUARE DR STE G
PARKER CO
80134-7397
US

IV. Provider business mailing address

19641 E PARKER SQUARE DR STE G
PARKER CO
80134-7397
US

V. Phone/Fax

Practice location:
  • Phone: 720-356-0333
  • Fax: 720-340-7306
Mailing address:
  • Phone: 720-356-0333
  • Fax: 720-340-7306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. CONNIE PATRICE HINES
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: M.A., M.ED
Phone: 720-356-0333