Organization
BOULDER COLORADO THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL DUNLAP (OWNER)
(720) 218-0788
Entity
Organization
Contact information
Practice address
2299 PEARL ST, BOULDER, CO 80302-4668
(720) 218-0788
Mailing address
3195 PEARL PKWY APT 312, BOULDER, CO 80301-2468
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/20/2024
Last updated
02/21/2024
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