Healthcare Provider Details
I. General information
NPI: 1821700147
Provider Name (Legal Business Name): APPELL PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/19/2022
Last Update Date: 12/19/2022
Certification Date: 12/19/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9601 E ILIFF AVE APT 1333
DENVER CO
80231-3422
US
IV. Provider business mailing address
9601 E ILIFF AVE APT 1333
DENVER CO
80231-3422
US
V. Phone/Fax
- Phone: 908-642-1739
- Fax:
- Phone: 908-642-1739
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ERIN
APPELL
Title or Position: PSYCHOTHERAPIST
Credential: LCSW
Phone: 908-642-1739