Organization
INDEPTH THERAPY, LLC
Active
Parent organization
INDEPTH THERAPY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDEPTH THERAPY, LLC
Authorized official
BETHANY BLANKENHEIM LPC (OWNER)
(720) 232-2303
Entity
Organization
Contact information
Practice address
7400 W JEFFERSON AVE STE 111, LAKEWOOD, CO 80235-2001
(720) 538-4357
(720) 232-2303
Mailing address
1008 DEPOT HILL RD # 201, BROOMFIELD, CO 80020-6723
(720) 232-2303
(720) 358-0846
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59112557
—
CO
Enumeration date
09/27/2020
Last updated
09/06/2023
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