Provider Demographics
NPI:1265838106
Name:ART AT HEART PSYCHOTHERAPY, LLC
Entity Type:Organization
Organization Name:ART AT HEART PSYCHOTHERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PSYCHOTHERAPY
Authorized Official - Prefix:MS
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:KOSAK
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:303-902-0060
Mailing Address - Street 1:825 E SPEER BLVD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-3719
Mailing Address - Country:US
Mailing Address - Phone:303-902-0600
Mailing Address - Fax:866-652-7775
Practice Address - Street 1:825 E SPEER BLVD
Practice Address - Street 2:SUITE 304
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-3719
Practice Address - Country:US
Practice Address - Phone:303-902-0600
Practice Address - Fax:866-652-7775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0001059106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty