Healthcare Provider Details

I. General information

NPI: 1871458281
Provider Name (Legal Business Name): OPEN MINDED THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 S WADSWORTH BLVD, UNIT 400 #626
DENVER CO
80226-1566
US

IV. Provider business mailing address

215 S WADSWORTH BLVD STE 400
LAKEWOOD CO
80226-1566
US

V. Phone/Fax

Practice location:
  • Phone: 720-441-3046
  • Fax:
Mailing address:
  • Phone:
  • 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: NATALIA MARIA RODRIGUEZ
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 407-558-0251