Provider Demographics
NPI:1164976676
Name:JANETBORELLIPSYCHOTHERAPY INC
Entity Type:Organization
Organization Name:JANETBORELLIPSYCHOTHERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:BORELLI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:720-939-9793
Mailing Address - Street 1:1385 S COLORADO BLVD
Mailing Address - Street 2:SUITE 302A
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-3304
Mailing Address - Country:US
Mailing Address - Phone:720-939-9793
Mailing Address - Fax:303-759-3149
Practice Address - Street 1:1385 S COLORADO BLVD
Practice Address - Street 2:SUITE 302A
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-3304
Practice Address - Country:US
Practice Address - Phone:720-939-9793
Practice Address - Fax:303-759-3149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-12
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO989391101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty