Healthcare Provider Details

I. General information

NPI: 1942115472
Provider Name (Legal Business Name): SYZYGY PSYCHOTHERAPEUTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 E 7TH AVE
DENVER CO
80203-3504
US

IV. Provider business mailing address

500 9TH AVE # 5B
LONGMONT CO
80501-4598
US

V. Phone/Fax

Practice location:
  • Phone: 720-378-8528
  • Fax:
Mailing address:
  • Phone: 720-378-8528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EZRA CROWSON
Title or Position: MENTAL HEALTH PROFESSIONAL
Credential:
Phone: 720-378-8528