Healthcare Provider Details

I. General information

NPI: 1679291595
Provider Name (Legal Business Name): THERAPY PARTNERS, PLLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2022
Last Update Date: 08/16/2022
Certification Date: 08/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1777 S HARRISON ST STE 1200
DENVER CO
80210-3955
US

IV. Provider business mailing address

2490 S HOLLY PL
DENVER CO
80222-6221
US

V. Phone/Fax

Practice location:
  • Phone: 720-626-4228
  • Fax:
Mailing address:
  • Phone: 720-626-4228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: JAN M BUCHANAN
Title or Position: MANAGING PARTNER
Credential: MA
Phone: 720-626-4228