=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134086796
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | REFOUND CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/06/2026
-----------------------------------------------------
Last Update Date | 01/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2850 WELTON ST
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80205-3020
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-783-2737
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2831 N YORK ST
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80205-4658
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-345-7393
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FOUNDER / MANAGING PARTNER
-----------------------------------------------------
Name | MS. INDIZO MOON
-----------------------------------------------------
Credential | PMHNP
-----------------------------------------------------
Telephone | 808-345-7393
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------