Organization
5280 SPORTS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOLLITA LUCERO LCSW (OWNER)
(720) 645-9817
Entity
Organization
Contact information
Practice address
4045 S BROADWAY STE 203, ENGLEWOOD, CO 80113-4694
(303) 319-6225
Mailing address
2429 S XANADU WAY UNIT D, AURORA, CO 80014-2121
(303) 319-6225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
03/02/2026
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