Healthcare Provider Details

I. General information

NPI: 1114750684
Provider Name (Legal Business Name): SOLAR BARGE PSYCHOTHERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2024
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 WARD ROAD BUILDING V, SUITE 110
ARVADA CO
80002-1819
US

IV. Provider business mailing address

351 S TAFT CT
LOUISVILLE CO
80027-9518
US

V. Phone/Fax

Practice location:
  • Phone: 970-573-7991
  • Fax:
Mailing address:
  • Phone: 218-251-7193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DENNIS MICHAEL ADAMS JR.
Title or Position: OWNER, PSYCHOTHERAPIST
Credential: MA, LPC
Phone: 970-573-7991