MEDICARE: CAFECITO CONNECTIONS THERAPY 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1962359802
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAFECITO CONNECTIONS THERAPY LLC

Provider Business Mailing Address
First Line	:	1905 N SHERMAN ST STE 2001302
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-1140
Country	:	US
Telephone Number	:	720-465-5766
Fax Number	:

Provider Business Practice Location Address
First Line	:	1905 N SHERMAN ST STE 2001302
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-1140
Country	:	US
Telephone Number	:	720-465-5766
Fax Number	:

Authorized Official
Title or Position	:	SOLE MBR
Name	:	KIMBERLY LYNN SMITH
Credential	:	MA, LPC
Telephone Number	:	720-465-5766

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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