MEDICARE: ENSYNC PARTNERSHIPS

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	101YP2500X	Professional Counselor	LPC.0013572	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063920619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENSYNC PARTNERSHIPS

Provider Business Mailing Address
First Line	:	6327 COVENTRY DR
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63033-7914
Country	:	US
Telephone Number	:	904-750-1229
Fax Number	:

Provider Business Practice Location Address
First Line	:	2323 S TROY ST STE 3-107
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-1982
Country	:	US
Telephone Number	:	303-808-9920
Fax Number	:

Authorized Official
Title or Position	:	PROFESSIONAL COUNSELOR
Name	:	KELLIE ELIZABETH VAZQUEZ
Credential	:	MA, NCC, BC-TMH, LPC
Telephone Number	:	904-750-1229

Provider Enumeration Date	:	01/17/2018
Last Update Date	:	11/25/2025

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Directions to “ENSYNC PARTNERSHIPS ” Practice Location

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