Provider Demographics
NPI:1265924864
Name:CONNEXUS SERVICES, LLC
Entity type:Organization
Organization Name:CONNEXUS SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:CLIFT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-523-8108
Mailing Address - Street 1:4155 E JEWELL AVE STE 712
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4511
Mailing Address - Country:US
Mailing Address - Phone:303-900-1916
Mailing Address - Fax:
Practice Address - Street 1:4155 E JEWELL AVE STE 712
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4511
Practice Address - Country:US
Practice Address - Phone:303-900-1916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0011395101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty