Provider Demographics
NPI:1851177588
Name:DENVER WELLNESS ASSOCIATES
Entity Type:Organization
Organization Name:DENVER WELLNESS ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF PAYER STRATEGY
Authorized Official - Prefix:
Authorized Official - First Name:JESSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ISRAEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-724-3668
Mailing Address - Street 1:PO BOX 844369
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-4369
Mailing Address - Country:US
Mailing Address - Phone:720-724-3668
Mailing Address - Fax:720-598-0480
Practice Address - Street 1:7951 E MAPLEWOOD AVE # B3-285
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-4723
Practice Address - Country:US
Practice Address - Phone:720-724-3668
Practice Address - Fax:720-598-0480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty