MEDICARE: EMOTION ALCHEMY COLLECTIVE PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	104100000X	Social Worker
2	101YM0800X	Mental Health Counselor
3	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1932955614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMOTION ALCHEMY COLLECTIVE PLLC

Provider Business Mailing Address
First Line	:	2934 S SHERMAN ST
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-1678
Country	:	US
Telephone Number	:	720-722-1477
Fax Number	:

Provider Business Practice Location Address
First Line	:	2222 E TENNESSEE AVE STE 200
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80209-4637
Country	:	US
Telephone Number	:	720-722-1477
Fax Number	:	720-600-4102

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LAUREL M HICKS
Credential	:	PHD
Telephone Number	:	313-405-9642

Provider Enumeration Date	:	04/24/2024
Last Update Date	:	04/08/2026

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