MEDICARE: THORNWOOD WELLNESS LLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1538054689
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THORNWOOD WELLNESS LLC

Provider Business Mailing Address
First Line	:	620 FRONT RANGE RD
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80120-4052
Country	:	US
Telephone Number	:	303-908-5560
Fax Number	:

Provider Business Practice Location Address
First Line	:	4850 HAHNS PEAK DR UNIT 200
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-6003
Country	:	US
Telephone Number	:	970-422-1060
Fax Number	:	970-251-0883

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DAVID R BRUNICK
Credential	:	LMFT
Telephone Number	:	303-908-5560

Provider Enumeration Date	:	06/10/2025
Last Update Date	:	06/10/2025

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