Provider Type Icon

NEUROAGILITY PC NPI 1811038326


NPI Information

NPI: 1811038326
Provider Name: NEUROAGILITY, PC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2501 WALNUT ST STE 205
BOULDER, CO
ZIP 80302
Phone: (303) 417-1797
Get Directions

NEUROAGILITY, PC is a mental health counselor in Boulder, CO. NEUROAGILITY, PC NPI is 1811038326. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2501 WALNUT ST STE 205
BOULDER, CO
ZIP 80302-753
Phone: (303) 417-1797
Fax: (303) 442-1125

The provider's authorized official is Kerri Honaker .
The authorized official title is Director and has the following contact phone number (303) 417-1797.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health3412COLORADOYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.