Provider Demographics
NPI:1548809908
Name:ELEMENT OF DISCOVERY, LLC
Entity type:Organization
Organization Name:ELEMENT OF DISCOVERY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ROSSINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHROEER-SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, NCC, GCDF
Authorized Official - Phone:720-507-6706
Mailing Address - Street 1:1210 S PARKER RD STE 210
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-2163
Mailing Address - Country:US
Mailing Address - Phone:303-881-1101
Mailing Address - Fax:303-991-9808
Practice Address - Street 1:1210 S PARKER RD STE 210
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-2163
Practice Address - Country:US
Practice Address - Phone:303-881-1101
Practice Address - Fax:303-991-9808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-03
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000182737Medicaid