Healthcare Provider Details

I. General information

NPI: 1710810452
Provider Name (Legal Business Name): INTROSPECTIVE FAMILY WELLNESS DENVER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 QUEBEC ST STE 4500
DENVER CO
80207-2310
US

IV. Provider business mailing address

990 W 41ST AVE UNIT 305
DENVER CO
80211-2579
US

V. Phone/Fax

Practice location:
  • Phone: 224-619-2350
  • Fax:
Mailing address:
  • Phone: 224-619-2350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. NATALIE STANISH
Title or Position: OWNER/DIRECTOR
Credential: MS, LMFT
Phone: 224-619-2350