Provider Demographics
NPI:1518375336
Name:KATE KING ART THERAPY & PSYCHOTHERAPY, LLC
Entity Type:Organization
Organization Name:KATE KING ART THERAPY & PSYCHOTHERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ART PSYCHOTHERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:KATE
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:MA, ATR, LPC
Authorized Official - Phone:970-319-9960
Mailing Address - Street 1:5310 DTC PKWY
Mailing Address - Street 2:SUITE G
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3010
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5310 DTC PKWY
Practice Address - Street 2:SUITE G
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-3010
Practice Address - Country:US
Practice Address - Phone:970-319-9960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-24
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0011240174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty