Provider Demographics
NPI:1306571351
Name:KINSLEY, SKYE BELLA
Entity type:Individual
Prefix:MS
First Name:SKYE
Middle Name:BELLA
Last Name:KINSLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NATHANAEL
Other - Middle Name:CHARLES
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:330 ACOMA ST APT 1004
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80223-1146
Mailing Address - Country:US
Mailing Address - Phone:952-208-0931
Mailing Address - Fax:
Practice Address - Street 1:20971 E SMOKY HILL RD STE 204
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-5187
Practice Address - Country:US
Practice Address - Phone:720-347-8559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0022676101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health