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Organization
MINDFUL THERAPY GROUP OF COLORADO, P.C.
Active
Organization
MINDFUL THERAPY GROUP OF COLORADO, P.C.
Active
Parent organization
MINDFUL THERAPY GROUP OF COLORADO, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINDFUL THERAPY GROUP OF COLORADO, P.C.
Authorized official
NICOLE PAULY (PAYOR RELATIONSHIP MANAGER)
(425) 640-7009
Entity
Organization
Contact information
Practice address
1790 38TH ST STE 104, BOULDER, CO 80301-2600
(720) 509-0795
(800) 377-1553
Mailing address
6505 216TH ST SW STE 100, MOUNTLAKE TERRACE, WA 98043-2089
(425) 640-7009
(425) 678-6455
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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