Provider Demographics
NPI:1568170074
Name:RED FOX THERAPY & WELLNESS
Entity Type:Organization
Organization Name:RED FOX THERAPY & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:
Authorized Official - First Name:JENIFER
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:COPE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:720-341-1310
Mailing Address - Street 1:9203 N PRAIRIE DUNES WAY
Mailing Address - Street 2:
Mailing Address - City:EAGLE MTN
Mailing Address - State:UT
Mailing Address - Zip Code:84005-6091
Mailing Address - Country:US
Mailing Address - Phone:720-341-1310
Mailing Address - Fax:
Practice Address - Street 1:1850 W ASHTON BLVD
Practice Address - Street 2:500 - KILN
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-8404
Practice Address - Country:US
Practice Address - Phone:801-477-4061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)