| Eminence Counseling Services, Llc | |
|
11111 E. Mississippi Ave Suite 200 Aurora CO 80012-4239 | |
| (303) 296-2350 | |
| (303) 296-2450 |
| Full Name | Eminence Counseling Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11111 E. Mississippi Ave Suite 200, Aurora, Colorado |
| Authorized Official Name and Position | Athanasius Umunnakwe Ohaya (OWNER) |
| Authorized Official Contact | 3039136131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eminence Counseling Services, Llc 11111 E. Mississippi Ave Suite 200 Aurora CO 80012-4239 Ph: (303) 296-2350 | Eminence Counseling Services, Llc 11111 E. Mississippi Ave Suite 200 Aurora CO 80012-4239 Ph: (303) 296-2350 |
| NPI Number | 1417265950 |
|---|---|
| Provider Enumeration Date | 09/17/2010 |
| Last Update Date | 10/19/2023 |
| Certification Date | 10/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417265950 | NPI | - | NPPES |
| 9000149094 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1663-00 (Colorado) | Primary |
| 252Y00000X | Early Intervention Provider Agency | 1663-00 (Colorado) | Secondary |
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