Healthcare Provider Details

I. General information

NPI: 1457291866
Provider Name (Legal Business Name): MINDHELM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 ARAPAHOE AVE STE 12
BOULDER CO
80302-5862
US

IV. Provider business mailing address

4845 PEARL EAST CIR STE 118 PMB 131580
BOULDER CO
80301-6112
US

V. Phone/Fax

Practice location:
  • Phone: 303-720-7194
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: ALEX KIRK
Title or Position: OWNER
Credential: PHD
Phone: 303-720-7194