Provider Demographics
NPI:1790140119
Name:SPECTRUM CONNECTIONS THERAPY, PLLC.
Entity Type:Organization
Organization Name:SPECTRUM CONNECTIONS THERAPY, PLLC.
Other - Org Name:ABC BEHAVIORAL SERVICES, LLC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:LICENSED PSYCHOTHERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:GURASH
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LMFT, BCBA
Authorized Official - Phone:720-282-9151
Mailing Address - Street 1:9362 TEDDY LN STE 206
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-2871
Mailing Address - Country:US
Mailing Address - Phone:720-282-9151
Mailing Address - Fax:
Practice Address - Street 1:9362 TEDDY LN STE 206
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-2871
Practice Address - Country:US
Practice Address - Phone:720-282-9151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-30
Last Update Date:2022-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health