MEDICARE: WHOLE HEARTS THERAPY

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1275056467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHOLE HEARTS THERAPY

Provider Business Mailing Address
First Line	:	9101 HARLAN ST UNIT 250
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80031-2973
Country	:	US
Telephone Number	:	303-588-4036
Fax Number	:

Provider Business Practice Location Address
First Line	:	9101 HARLAN ST UNIT 250
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80031-2973
Country	:	US
Telephone Number	:	303-588-4036
Fax Number	:

Authorized Official
Title or Position	:	SOLE PROPRIETOR
Name	:	JESSICA R RICHARDS
Credential	:	LPC
Telephone Number	:	303-931-7279

Provider Enumeration Date	:	07/20/2017
Last Update Date	:	07/07/2020

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Directions to “WHOLE HEARTS THERAPY ” Practice Location

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