Provider Demographics
NPI:1346757804
Name:BERUMEN, ALACEY ANNE GILMORE (PHD, LAC)
Entity Type:Individual
Prefix:DR
First Name:ALACEY
Middle Name:ANNE GILMORE
Last Name:BERUMEN
Suffix:
Gender:F
Credentials:PHD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7744 E NAVARRO PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2141
Mailing Address - Country:US
Mailing Address - Phone:303-884-3918
Mailing Address - Fax:
Practice Address - Street 1:1550 S FEDERAL BLVD STE D
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80219-4762
Practice Address - Country:US
Practice Address - Phone:720-502-4070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-05
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0000953101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)