Provider Demographics
NPI:1629471883
Name:GURASH, NICOLE (PSYD, LMFT)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:
Last Name:GURASH
Suffix:
Gender:F
Credentials:PSYD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9220 TEDDY LN STE 1000A
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-6756
Mailing Address - Country:US
Mailing Address - Phone:720-429-5239
Mailing Address - Fax:
Practice Address - Street 1:9220 TEDDY LN STE 1000A
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-6756
Practice Address - Country:US
Practice Address - Phone:720-282-9151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-02
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFT.0002102106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist