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 (OWNER)
(720) 232-2303
Entity
Organization
Contact information
Practice address
3307 S COLLEGE AVE UNIT 217, FORT COLLINS, CO 80525-4196
(720) 538-4357
(720) 358-0846
Mailing address
1008 DEPOT HILL RD # 201, BROOMFIELD, CO 80020-6723
(720) 232-2303
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59112557
—
CO
Enumeration date
09/25/2020
Last updated
09/06/2023
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