Provider Demographics
NPI:1851656342
Name:KAREN MOREAU & ASSOCIATES
Entity Type:Organization
Organization Name:KAREN MOREAU & ASSOCIATES
Other - Org Name:ADDICTION TREATMENT OUTPATIENT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOREAU
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC
Authorized Official - Phone:303-329-3105
Mailing Address - Street 1:2755 S LOCUST ST STE 132
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-7131
Mailing Address - Country:US
Mailing Address - Phone:303-329-3105
Mailing Address - Fax:303-600-6645
Practice Address - Street 1:7200 E DRY CREEK RD STE C203
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2563
Practice Address - Country:US
Practice Address - Phone:303-329-3105
Practice Address - Fax:303-600-6645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-10
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACC-3237101YA0400X
COLPC-308101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO81221045Medicaid