Healthcare Provider Details
I. General information
NPI: 1447866876
Provider Name (Legal Business Name): WHOLEHEARTED THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/21/2020
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7150 E HAMPDEN AVE STE 307
DENVER CO
80224-3057
US
IV. Provider business mailing address
PO BOX 2001
BROOMFIELD CO
80038-2001
US
V. Phone/Fax
- Phone: 720-470-0594
- Fax:
- Phone: 720-470-0594
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WESTON
ZINK
Title or Position: OWNER/THERAPIST
Credential: LPC, LAC
Phone: 720-470-0594