# BRIEF PSYCHOTHERAPY INSTITUTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669214193
- **Authorized official:** DAVID LEISTIKOW MD (OWNER)
- **Authorized official phone:** (303) 549-4076

## Contact information

- **Practice address:** 1022 DEPOT HILL RD, BROOMFIELD, CO 80020-1068
- **Practice address phone:** (720) 640-1910
- **Practice address fax:** (303) 664-1651
- **Mailing address:** 9770 ISABELLE RD, LAFAYETTE, CO 80026-9104
- **Mailing address phone:** (720) 640-1910
- **Mailing address fax:** (303) 664-1651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/06/2024
- **Last updated:** 06/06/2024