Provider Demographics
NPI:1205611035
Name:OREMUS, ISABELLA GRACE
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:GRACE
Last Name:OREMUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 S FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3328
Mailing Address - Country:US
Mailing Address - Phone:708-860-2229
Mailing Address - Fax:
Practice Address - Street 1:950 S CHERRY ST STE 414
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-2668
Practice Address - Country:US
Practice Address - Phone:720-295-6566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor