# WICK THERAPY GROUP, LLC

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

## Provider details

- **NPI number:** 1770231466
- **Authorized official:** MIA BOWICK (OWNER)
- **Authorized official phone:** (805) 292-0882

## Contact information

- **Practice address:** 7950 S LINCOLN ST STE 101, LITTLETON, CO 80122-2713
- **Practice address phone:** (805) 292-0882
- **Mailing address:** 6918 EDGEWOOD CT, HIGHLANDS RANCH, CO 80130-5139
- **Mailing address phone:** (805) 292-0882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2022
- **Last updated:** 03/12/2022