Healthcare Provider Details

I. General information

NPI: 1467377291
Provider Name (Legal Business Name): RENEWED MIND MENTAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

172 E INDUSTRIAL BLVD STE 111
PUEBLO WEST CO
81007-4407
US

IV. Provider business mailing address

1500 N GRANT ST STE 11252
DENVER CO
80203-1859
US

V. Phone/Fax

Practice location:
  • Phone: 719-568-5831
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SARAH KURASH
Title or Position: CLINICAL DIRECTOR
Credential: PMHNP
Phone: 719-568-5831