Healthcare Provider Details

I. General information

NPI: 1235818477
Provider Name (Legal Business Name): MARKLE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2023
Last Update Date: 07/14/2023
Certification Date: 07/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2299 PEARL ST STE 310
BOULDER CO
80302-4671
US

IV. Provider business mailing address

2299 PEARL ST STE 310
BOULDER CO
80302-4671
US

V. Phone/Fax

Practice location:
  • Phone: 303-635-6753
  • Fax:
Mailing address:
  • Phone: 303-635-6753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: NICOLE HIPP
Title or Position: CLINICAL DIRECTOR
Credential:
Phone: 303-635-6753