Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

My Healing Space Counseling PLLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1508618455

My Healing Space Counseling PLLC is an Addiction (Substance Use Disorder) Counselor in Aurora, Colorado. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14211 E 4th Ave # 3-250
Aurora, CO 80011-8736
Phone: (720) 209-8897
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19549 Randolph Pl, Denver, CO 80249-8609 — (720) 829-4471

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X

Record details

NPI number1508618455
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fannie Johnson — Owner · (720) 829-4471
NPI enumeratedApril 3, 2024
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026
Mailing address19549 Randolph Pl, Denver, CO 80249-8609

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