Organization
MILE HIGH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY KREUZBERGER LPC, LAC (OWNER/THERAPIST)
(719) 231-6427
Entity
Organization
Contact information
Practice address
1780 S BELLAIRE ST STE 801, DENVER, CO 80222-4307
(720) 593-0887
Mailing address
1521 S CASCADE AVE, COLORADO SPRINGS, CO 80905-2205
(719) 231-6427
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000203809
—
CO
Enumeration date
05/20/2022
Last updated
07/07/2022
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