Healthcare Provider Details

I. General information

NPI: 1013771526
Provider Name (Legal Business Name): PURE POTENTIAL THERAPEUTIC SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2024
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 E ARAPAHOE RD STE 114
CENTENNIAL CO
80112-1261
US

IV. Provider business mailing address

7600 E ARAPAHOE RD STE 114
CENTENNIAL CO
80112-1261
US

V. Phone/Fax

Practice location:
  • Phone: 720-295-9772
  • Fax:
Mailing address:
  • Phone: 303-881-3377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE HALE
Title or Position: OWNDER
Credential: LMFT
Phone: 303-881-3377