# MINDFUL THERAPY GROUP OF COLORADO, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MINDFUL THERAPY GROUP OF COLORADO, P.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023971041
- **Legal business name:** MINDFUL THERAPY GROUP OF COLORADO, P.C.
- **Authorized official:** NICOLE PAULY (PAYOR RELATIONSHIP MANAGER)
- **Authorized official phone:** (425) 640-7009

## Contact information

- **Practice address:** 1790 38TH ST STE 104, BOULDER, CO 80301-2600
- **Practice address phone:** (720) 509-0795
- **Practice address fax:** (800) 377-1553
- **Mailing address:** 6505 216TH ST SW STE 100, MOUNTLAKE TERRACE, WA 98043-2089
- **Mailing address phone:** (425) 640-7009
- **Mailing address fax:** (425) 678-6455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2025
- **Last updated:** 12/05/2025