Organization
BLUE CHANNEL THERAPY
Active
Organization
BLUE CHANNEL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIA LONGENECKER (OWNER)
(720) 295-7548
Entity
Organization
Contact information
Practice address
14901 E HAMPDEN AVE STE 120, AURORA, CO 80014-5037
(720) 295-7548
Mailing address
5460 WARD RD STE 150, ARVADA, CO 80002-1828
(720) 295-7548
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
06/18/2022
Last updated
06/12/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up