Basic Information
Provider Information
NPI: 1184816571
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GYORFFY
FirstName: MICHAEL
MiddleName: JOSEPH
NamePrefix:  
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 750 W HAMPDEN AVE.
Address2: SUITE 105
City: ENGLEWOOD
State: CO
PostalCode: 801102167
CountryCode: US
TelephoneNumber: 7209747464
FaxNumber: 3039537274
Practice Location
Address1: 6080 W 92ND AVE STE 1000
Address2:  
City: WESTMINSTER
State: CO
PostalCode: 800312935
CountryCode: US
TelephoneNumber: 3034299311
FaxNumber: 3034299399
Other Information
ProviderEnumerationDate: 08/10/2007
LastUpdateDate: 07/24/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X3107KYN Behavioral Health & Social Service ProvidersSocial WorkerClinical
1041C0700X09924816COY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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