Provider Demographics
NPI:1013624949
Name:SPRUCE THERAPY LLC
Entity Type:Organization
Organization Name:SPRUCE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:970-217-2829
Mailing Address - Street 1:44525 COUNTY ROAD 44
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-9154
Mailing Address - Country:US
Mailing Address - Phone:970-217-2829
Mailing Address - Fax:
Practice Address - Street 1:44525 COUNTY ROAD 44
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-9154
Practice Address - Country:US
Practice Address - Phone:970-217-2829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty