Provider Demographics
NPI:1194413104
Name:KIRBY, ARIA STAR (ADDC)
Entity type:Individual
Prefix:
First Name:ARIA
Middle Name:STAR
Last Name:KIRBY
Suffix:
Gender:F
Credentials:ADDC
Other - Prefix:
Other - First Name:ARIA
Other - Middle Name:STAR
Other - Last Name:ARTHUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ADDC
Mailing Address - Street 1:1400 S COLORADO BLVD STE 410A
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-3600
Mailing Address - Country:US
Mailing Address - Phone:719-401-2283
Mailing Address - Fax:
Practice Address - Street 1:1400 S COLORADO BLVD STE 410A
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-3600
Practice Address - Country:US
Practice Address - Phone:719-401-2283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COADDC.0000276101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)