Healthcare Provider Details

I. General information

NPI: 1376454926
Provider Name (Legal Business Name): TIGER & BOLT MANAGED SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3773 CHERRY CREEK NORTH DRIVE WEST TOWER SUITE 670
DENVER CO
80209-3804
US

IV. Provider business mailing address

7400 E CRESTLINE CIR STE 145
GREENWOOD VILLAGE CO
80111-3656
US

V. Phone/Fax

Practice location:
  • Phone: 720-446-5430
  • Fax:
Mailing address:
  • Phone: 720-446-5430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: BRENDAN O'BRIEN
Title or Position: OWNER
Credential:
Phone: 720-446-5430