Healthcare Provider Details

I. General information

NPI: 1265345508
Provider Name (Legal Business Name): RYAN WELBORN COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6545 W 44TH AVE
WHEAT RIDGE CO
80033-4749
US

IV. Provider business mailing address

6690 W 38TH AVE
WHEAT RIDGE CO
80033-4906
US

V. Phone/Fax

Practice location:
  • Phone: 720-675-9364
  • Fax:
Mailing address:
  • Phone: 720-675-9364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: RYAN WELBORN
Title or Position: OWNER
Credential: LPC
Phone: 720-675-9364