Healthcare Provider Details

I. General information

NPI: 1134467160
Provider Name (Legal Business Name): THERAPY & BEYOND OF DENVER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2013
Last Update Date: 08/02/2022
Certification Date: 08/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12201 E ARAPAHOE RD STE C14
CENTENNIAL CO
80112-4494
US

IV. Provider business mailing address

2020 E HEBRON PKWY STE 100
CARROLLTON TX
75007-1609
US

V. Phone/Fax

Practice location:
  • Phone: 469-892-7500
  • Fax:
Mailing address:
  • Phone: 469-892-7500
  • Fax: 888-237-2214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM ASSELL JR.
Title or Position: CFO
Credential:
Phone: 469-892-7500