Provider Demographics
NPI:1053086868
Name:ROADS AND RIVERS THERAPEUTIC SERVICES
Entity Type:Organization
Organization Name:ROADS AND RIVERS THERAPEUTIC SERVICES
Other - Org Name:ROADS AND RIVERS THERAPEUTIC SERVICES, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:THORSTAD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:303-989-5534
Mailing Address - Street 1:1754 N LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1117
Mailing Address - Country:US
Mailing Address - Phone:303-474-4193
Mailing Address - Fax:
Practice Address - Street 1:1754 N LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1117
Practice Address - Country:US
Practice Address - Phone:303-474-4193
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-12
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty