Organization
BLUE CHANNEL THERAPY
Active
Parent organization
1811587199
Organization subpart
Yes
Provider details
NPI number
Legal business name
1811587199
Authorized official
VICKI SAYRE (BILLER)
(720) 989-0021
Entity
Organization
Contact information
Practice address
10465 MELODY DR STE 322, NORTHGLENN, CO 80234-4126
(720) 295-7548
Mailing address
5460 WARD RD STE 150, ARVADA, CO 80002-1828
(720) 795-7548
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000190521
—
CO
Enumeration date
07/16/2022
Last updated
10/23/2025
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