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Organization
MINDFUL THERAPY GROUP OF COLORADO, PC
Active
Organization
MINDFUL THERAPY GROUP OF COLORADO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK CRAIN LICSW (CEO)
(425) 640-7009
Entity
Organization
Contact information
Practice address
8490 E CRESCENT PKWY STE 200, GREENWOOD VILLAGE, CO 80111-2802
(720) 316-6434
Mailing address
6505 216TH ST SW STE 100, MOUNTLAKE TERRACE, WA 98043-2089
(425) 640-7009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/05/2023
Last updated
11/13/2024
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