Healthcare Provider Details

I. General information

NPI: 1649839069
Provider Name (Legal Business Name): START TALKING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2019
Last Update Date: 06/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19563 E MAINSTREET STE 206H
PARKER CO
80138-7367
US

IV. Provider business mailing address

9100 VANCE ST APT 834
WESTMINSTER CO
80021-7019
US

V. Phone/Fax

Practice location:
  • Phone: 303-505-8355
  • Fax:
Mailing address:
  • Phone: 816-536-1468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MARK P NOLTE
Title or Position: CEO
Credential:
Phone: 816-536-1468