Healthcare Provider Details

I. General information

NPI: 1396696944
Provider Name (Legal Business Name): DEPTH & ALCHEMY COLLECTIVE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 S NAVAJO ST APT 506
ENGLEWOOD CO
80110-4644
US

IV. Provider business mailing address

4201 S NAVAJO ST APT 506
ENGLEWOOD CO
80110-4644
US

V. Phone/Fax

Practice location:
  • Phone: 720-722-0414
  • Fax:
Mailing address:
  • Phone: 720-722-0414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ROBERT GARTH TAYLOR
Title or Position: CO-OWNER
Credential: LAC, LPCC, NMIT
Phone: 720-722-0414