Healthcare Provider Details

I. General information

NPI: 1669281119
Provider Name (Legal Business Name): MENTAL HEALTH TREATMENT SPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2024
Last Update Date: 12/30/2024
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9101 PEARL ST STE 320
THORNTON CO
80229-4354
US

IV. Provider business mailing address

12191 W 75TH LN
ARVADA CO
80005-5309
US

V. Phone/Fax

Practice location:
  • Phone: 330-506-1145
  • Fax:
Mailing address:
  • Phone: 330-506-1145
  • 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: MICHAEL DAMIOLI
Title or Position: COO
Credential: LCSW
Phone: 330-506-1145