MEDICARE: MICHELLE VENTURELLI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1043147044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE VENTURELLI

Provider Business Mailing Address
First Line	:	6619 MENTHA DR
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80108-8748
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6619 MENTHA DR
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80108-8748
Country	:	US
Telephone Number	:	720-280-2344
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/05/2026

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Directions to “ MICHELLE VENTURELLI ” Practice Location

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