Provider Demographics
NPI:1255732541
Name:CAYA LLC
Entity type:Organization
Organization Name:CAYA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST & CONSULTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:CORY
Authorized Official - Middle Name:
Authorized Official - Last Name:REID-VANAS
Authorized Official - Suffix:
Authorized Official - Credentials:MA LMFTC NCC
Authorized Official - Phone:720-252-0345
Mailing Address - Street 1:2855 N SPEER BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-4239
Mailing Address - Country:US
Mailing Address - Phone:720-252-0345
Mailing Address - Fax:303-455-0661
Practice Address - Street 1:2855 N SPEER BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-4239
Practice Address - Country:US
Practice Address - Phone:720-252-0345
Practice Address - Fax:303-455-0661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-05
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0013394251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health