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NPI Code Detail

MEDICARE: EXISTENTIAL BUREAU PLLC

MEDICARE: EXISTENTIAL BUREAU 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
1261QM0850XAdult Mental Health Clinic/Center
2261QM0855XAdolescent and Children Mental Health Clinic/Center
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1578459285
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXISTENTIAL BUREAU PLLC
Provider Business Mailing Address
First Line : 3505 FAIRFAX ST
Second Line :
City : DENVER
State : CO
Zip : 80207-1110
Country : US
Telephone Number : 720-600-7588
Fax Number :
Provider Business Practice Location Address
First Line : 3505 FAIRFAX ST
Second Line :
City : DENVER
State : CO
Zip : 80207-1110
Country : US
Telephone Number : 720-600-7588
Fax Number :
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : MR. ROBERT CHRISTOPHER KEYES II
Credential : LPC
Telephone Number : 720-600-7588
Provider Enumeration Date : 06/17/2025
Last Update Date : 09/24/2025

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