GRAND MESA THERAPY PLLC NPI 1174458103

NPI Information

  • NPI: 1174458103
  • Provider Name: GRAND MESA THERAPY PLLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 1500 N GRANT ST STE R
    DENVER, CO
    ZIP 80203
  • Phone: (970) 787-5100

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NPI Details

GRAND MESA THERAPY PLLC is a mental health counselor in Denver, CO. GRAND MESA THERAPY PLLC NPI is 1174458103. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1500 N GRANT ST STE R
DENVER, CO
ZIP 80203-859
Phone: (970) 787-5100
Fax: (970) 787-5100

The provider's authorized official is Holly Shockley .
The authorized official title is Owner and has the following contact phone number (970) 787-5100.

The enumeration date for this NPI number is 6/12/2026 and was last updated on 6/12/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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