MEDICARE: HEALING AND ESPERANZA COUNSELING, LLC

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	251S00000X	Community/Behavioral Health Agency
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1083456347
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING AND ESPERANZA COUNSELING, LLC

Provider Business Mailing Address
First Line	:	6502 N CATHAY ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80249-7657
Country	:	US
Telephone Number	:	720-805-6244
Fax Number	:

Provider Business Practice Location Address
First Line	:	6502 N CATHAY ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80249-7657
Country	:	US
Telephone Number	:	720-805-6244
Fax Number	:

Authorized Official
Title or Position	:	MENTAL HEALTH THERAPIST
Name	:	LUZ JAZEL NAVARRETE
Credential	:	LCSW
Telephone Number	:	720-805-6244

Provider Enumeration Date	:	06/08/2024
Last Update Date	:	06/14/2024

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