Organization
REAL TALK COUNSELING FROM AN URBAN PERSPECTIVE
Active
Organization
REAL TALK COUNSELING FROM AN URBAN PERSPECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWAUNE LATIETH ELLIS M.S. (EXECUTIVE DIRECTOR)
(303) 377-0370
Entity
Organization
Contact information
Practice address
2323 S TROY ST STE 5-209, AURORA, CO 80014-1900
(303) 377-0370
Mailing address
2323 S TROY ST STE 5-209, AURORA, CO 80014-1900
(303) 377-0370
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2438-01
OBH COLORADO LICENSE
CO
Enumeration date
08/09/2022
Last updated
08/09/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up