Provider Demographics
NPI:1790508778
Name:ELEPHANT IN THE ROOM LLC
Entity type:Organization
Organization Name:ELEPHANT IN THE ROOM LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-233-3261
Mailing Address - Street 1:7596 W JEWELL AVE # 1-202
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-6889
Mailing Address - Country:US
Mailing Address - Phone:719-223-3261
Mailing Address - Fax:844-412-7875
Practice Address - Street 1:925 S BROADWAY STE 211
Practice Address - Street 2:
Practice Address - City:CORTEZ
Practice Address - State:CO
Practice Address - Zip Code:81321-4033
Practice Address - Country:US
Practice Address - Phone:719-223-3261
Practice Address - Fax:844-412-7875
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELEPHANT IN THE ROOM LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-06
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty