Provider Demographics
NPI:1144053372
Name:KOBAYASHI-HINDS, GRANT (LPC)
Entity type:Individual
Prefix:
First Name:GRANT
Middle Name:
Last Name:KOBAYASHI-HINDS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 201334
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-7334
Mailing Address - Country:US
Mailing Address - Phone:303-918-5369
Mailing Address - Fax:
Practice Address - Street 1:13693 E ILIFF AVE STE 112
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1367
Practice Address - Country:US
Practice Address - Phone:740-280-2206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0020049101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional