Provider Demographics
NPI:1386439008
Name:ROSEMOND, KIRA NICOLE
Entity type:Individual
Prefix:
First Name:KIRA
Middle Name:NICOLE
Last Name:ROSEMOND
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9123 E MISSISSIPPI AVE APT 8-304
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-2092
Mailing Address - Country:US
Mailing Address - Phone:915-309-9778
Mailing Address - Fax:
Practice Address - Street 1:13731 E RICE PL STE 103
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-1073
Practice Address - Country:US
Practice Address - Phone:720-949-1707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-12
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0023090101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health