Healthcare Provider Details

I. General information

NPI: 1518891530
Provider Name (Legal Business Name): INNER DOOR THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8795 RALSTON RD STE 114B
ARVADA CO
80002-2378
US

IV. Provider business mailing address

8795 RALSTON RD STE 114B
ARVADA CO
80002-2378
US

V. Phone/Fax

Practice location:
  • Phone: 224-377-0390
  • Fax:
Mailing address:
  • Phone: 224-377-0390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. JESSICA SUSANNE KIRCHBERG
Title or Position: PSYCHOTHERAPIST AND PRACTICE OWNER
Credential: MA, LPC, LCPC
Phone: 224-377-0390