Healthcare Provider Details

I. General information

NPI: 1770490849
Provider Name (Legal Business Name): HARRISON BRIDGE BEHAVIORAL HEALTH CO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1905 N SHERMAN ST
DENVER CO
80203-1140
US

IV. Provider business mailing address

1905 N SHERMAN ST STE 200
DENVER CO
80203-1132
US

V. Phone/Fax

Practice location:
  • Phone: 704-709-5688
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ABE COHEN
Title or Position: CEO
Credential:
Phone: 704-709-5688