Provider Demographics
NPI:1265832067
Name:COMPREHENSIVE THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PERLMUTTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:303-217-1421
Mailing Address - Street 1:10660 E BETHANY DR STE 29
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2602
Mailing Address - Country:US
Mailing Address - Phone:610-322-7829
Mailing Address - Fax:720-645-2859
Practice Address - Street 1:10660 E BETHANY DR STE 29
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2602
Practice Address - Country:US
Practice Address - Phone:610-322-7829
Practice Address - Fax:720-645-2859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-28
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9917021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000163645Medicaid