MEDICARE: GBQ, INC.

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	101YM0800X	Mental Health Counselor	LPC-500	CO
2	101YP2500X	Professional Counselor	LPC-500	CO

General Provider Information

NPI Number	:	1376753434
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GBQ, INC.

Provider Business Mailing Address
First Line	:	1167 SANTA FE DR
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-3543
Country	:	US
Telephone Number	:	303-393-0150
Fax Number	:	720-932-1755

Provider Business Practice Location Address
First Line	:	1167 SANTA FE DR
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-3543
Country	:	US
Telephone Number	:	303-393-0150
Fax Number	:	720-932-1755

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GAYLE B. QUICK
Credential	:
Telephone Number	:	303-393-0150

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	09/11/2025

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Directions to “GBQ, INC. ” Practice Location

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