MEDICARE: ALMA VISTA PSYCHIATRY PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YP2500X	Professional Counselor
2	1041C0700X	Clinical Social Worker
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1063368298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALMA VISTA PSYCHIATRY PLLC

Provider Business Mailing Address
First Line	:	7535 E HAMPDEN AVE STE 352
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-4838
Country	:	US
Telephone Number	:	720-443-1021
Fax Number	:	720-953-3898

Provider Business Practice Location Address
First Line	:	7535 E HAMPDEN AVE STE 352
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-4838
Country	:	US
Telephone Number	:	720-443-1021
Fax Number	:	720-953-3898

Authorized Official
Title or Position	:	OWNER
Name	:	MORIAH LAROCQUE
Credential	:	LCSW
Telephone Number	:	720-443-1021

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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