Alis Behavioral Health of Colorado LLC
Organization Active NPI Adolescent and Children Mental Health Clinic/Center · Denver, CO
NPI 1003534090 · NPPES record last updated Jan 12, 2023
Key facts
- NPI
- 1003534090
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adolescent and Children Mental Health Clinic/Center 261QM0855X
- Legal business name
- ALIS BEHAVIORAL HEALTH OF COLORADO LLC
- Practice address
- 1325 S Colorado Blvd Ste B705
Denver, CO 80222-3383 - Phone
- (888) 528-3860
- NPI assigned
- Aug 16, 2022
- Organization subpart
- No
Authorized official
- Name
- Mr. Eli Gross
- Title
- Ceo
- Phone
- (888) 528-3860
Corporate family (same tax ID) 2
Practitioners 16
-
Rebecca Gibson, LPCC
-
Michael Y Kim, DO
-
Madison Nola, LSW
-
Veronica Ploeger, MSW, SWP
-
Brooke Ashley Stencel, LPCC
-
Melissa Teasdale, LCSW
National Provider Directory
- Tax ID family
- Alis Behavioral Health of Colorado LLC
Locations
2921 W 120th Ave
Unit 100
Westminster, CO 80234
Phone (720) 780-2666
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Yes |
Addresses
Primary practice location
1325 S Colorado Blvd Ste B705
Denver, CO 80222-3383
Mailing address
1325 S Colorado Blvd Ste B705
Denver, CO 80222-3383
Phone (888) 528-3860
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000208795 | Medicaid | CO |
Other names
- Alis Behavioral Health
Other providers in Denver, CO
- Aligned Practices LLC
- Nicole Alipour
- Jacqueline Marie Alire Rodriquez
- Tonia Alire
- Leo Alirez
- Alison Auster MD PLLC
- Alison Auster MD PLLC
- Alison G. Pierucci LLC
- Hollie M Alkaihal
- Ghalia Githa Alkassir
All providers in Denver, CO · Adolescent and Children Mental Health Clinic/Center in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.