Healthcare Provider Details

I. General information

NPI: 1710586656
Provider Name (Legal Business Name): DOVE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2020
Last Update Date: 10/21/2020
Certification Date: 10/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9450 HURON ST UNIT B
THORNTON CO
80260-7932
US

IV. Provider business mailing address

9450 HURON ST UNIT B
THORNTON CO
80260-7932
US

V. Phone/Fax

Practice location:
  • Phone: 303-429-3400
  • Fax: 303-429-3332
Mailing address:
  • Phone: 303-429-3400
  • Fax: 303-429-3332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ADRIA GUERRERO
Title or Position: OPERATIONS MANAGER/CO-OWNER
Credential:
Phone: 303-429-3400