Provider Demographics
NPI:1457640427
Name:TRIBEKA LLC
Entity Type:Organization
Organization Name:TRIBEKA LLC
Other - Org Name:LIFE GUIDANCE CENTRE FOR DEAF AND HARD OF HEARING WOMEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ASHANTI
Authorized Official - Middle Name:U
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-583-7676
Mailing Address - Street 1:PO BOX 1371
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-1371
Mailing Address - Country:US
Mailing Address - Phone:720-583-7676
Mailing Address - Fax:866-678-8525
Practice Address - Street 1:1980 S QUEBEC ST
Practice Address - Street 2:SUITE 102
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-3239
Practice Address - Country:US
Practice Address - Phone:720-583-7676
Practice Address - Fax:866-678-8525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management