Healthcare Provider Details
I. General information
NPI: 1831010974
Provider Name (Legal Business Name): JESSICA ULIBARRI LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9551 CIVIC CENTER DR
THORNTON CO
80229-4326
US
IV. Provider business mailing address
871 THORNTON PKWY
THORNTON CO
80229-3681
US
V. Phone/Fax
- Phone: 720-295-4443
- Fax:
- Phone: 720-295-4443
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JESSICA
ULIBARRI
Title or Position: THERAPIST
Credential: LCSW
Phone: 720-295-4443