MEDICARE: NEW PATTERNS THERAPY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1073194460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW PATTERNS THERAPY, PLLC

Provider Business Mailing Address
First Line	:	1580 N LOGAN ST STE 680
Second Line	:	420232
City	:	DENVER
State	:	CO
Zip	:	80203-1939
Country	:	US
Telephone Number	:	720-443-3114
Fax Number	:

Provider Business Practice Location Address
First Line	:	1580 N LOGAN ST STE 680
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-1939
Country	:	US
Telephone Number	:	720-443-3114
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	THERESA GRZESLO
Credential	:	A.M., LCSW
Telephone Number	:	720-443-3114

Provider Enumeration Date	:	04/16/2021
Last Update Date	:	03/16/2026

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