MEDICARE: TERRA COVE THERAPY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1669289658
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TERRA COVE THERAPY PLLC

Provider Business Mailing Address
First Line	:	825 E SPEER BLVD STE 202
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-3719
Country	:	US
Telephone Number	:	720-828-3255
Fax Number	:

Provider Business Practice Location Address
First Line	:	825 E SPEER BLVD STE 202
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-3719
Country	:	US
Telephone Number	:	720-828-3255
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LINDSEY MICHAL
Credential	:	LPC
Telephone Number	:	720-828-3255

Provider Enumeration Date	:	12/13/2024
Last Update Date	:	01/13/2026

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