Healthcare Provider Details

I. General information

NPI: 1891324554
Provider Name (Legal Business Name): HARTMAN THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2020
Last Update Date: 05/06/2020
Certification Date: 05/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 CASTLE DR
SEVERANCE CO
80550-4874
US

IV. Provider business mailing address

214 CASTLE DR
SEVERANCE CO
80550-4874
US

V. Phone/Fax

Practice location:
  • Phone: 720-818-0510
  • Fax:
Mailing address:
  • Phone: 720-818-0510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALISON HARTMAN
Title or Position: OWNER
Credential: LMFT
Phone: 720-818-0510