Provider Demographics
NPI:1356119598
Name:LETS TALK ABOUT CHANGE LLC
Entity type:Organization
Organization Name:LETS TALK ABOUT CHANGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BERUMEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LAC, MAC
Authorized Official - Phone:303-884-3918
Mailing Address - Street 1:210 WHISPERING SPRING LN
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78633-1996
Mailing Address - Country:US
Mailing Address - Phone:303-884-3918
Mailing Address - Fax:
Practice Address - Street 1:8354 NORTHFIELD BLVD
Practice Address - Street 2:STE (KENEKT)
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80238
Practice Address - Country:US
Practice Address - Phone:303-884-3918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty