Provider Demographics
NPI:1437037991
Name:ANU THERAPY GROUP
Entity type:Organization
Organization Name:ANU THERAPY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCCOY-JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LAC, LPCC, MFTC
Authorized Official - Phone:720-376-5631
Mailing Address - Street 1:PO BOX 470443
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80047-0443
Mailing Address - Country:US
Mailing Address - Phone:720-376-5631
Mailing Address - Fax:
Practice Address - Street 1:6795 E TENNESSEE AVE STE 370
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-1693
Practice Address - Country:US
Practice Address - Phone:720-376-5631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-23
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000243974Medicaid