Provider Demographics
NPI:1114517133
Name:SOMATIC THERAPY PARTNERS
Entity Type:Organization
Organization Name:SOMATIC THERAPY PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLZMANN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:760-889-9319
Mailing Address - Street 1:1623 S SYRACUSE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-2691
Mailing Address - Country:US
Mailing Address - Phone:760-889-9319
Mailing Address - Fax:
Practice Address - Street 1:3773 E CHERRY CREEK NORTH DR STE 690
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-3867
Practice Address - Country:US
Practice Address - Phone:720-798-4074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE EMPOWERMENTOR EXPERIENCE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-23
Last Update Date:2021-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty