Healthcare Provider Details

I. General information

NPI: 1780281139
Provider Name (Legal Business Name): THE THERAPY COLLECTIVE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2020
Last Update Date: 11/29/2022
Certification Date: 11/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 S COLORADO BLVD STE 410
DENVER CO
80222-3341
US

IV. Provider business mailing address

1325 S COLORADO BLVD STE 410
DENVER CO
80222-3341
US

V. Phone/Fax

Practice location:
  • Phone: 720-282-9750
  • Fax:
Mailing address:
  • Phone: 205-399-1428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ANGELICA ABSTON
Title or Position: OWNER
Credential: LPC
Phone: 205-399-1428