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Organization
MINDFUL THERAPY GROUP OF COLORADO, PC
Active
Organization
MINDFUL THERAPY GROUP OF COLORADO, PC
Active
Parent organization
MINDFUL THERAPY GROUP OF COLORADO, P.C.
Other names
Mindful Therapy Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINDFUL THERAPY GROUP OF COLORADO, P.C.
Authorized official
NICOLE PAULY (PROVIDER ENROLLMENT MANAGER)
(425) 640-7009
Entity
Organization
Contact information
Practice address
3711 JFK PKWY STE 310, FORT COLLINS, CO 80525-2658
(970) 422-7260
(425) 678-6455
Mailing address
6505 216TH ST SW STE 100, MOUNTLAKE TERRACE, WA 98043-2089
(425) 678-6463
(425) 678-6455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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