Provider Demographics
NPI:1255139440
Name:REAL THERAPISTS GROUP
Entity type:Organization
Organization Name:REAL THERAPISTS GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:A
Authorized Official - Last Name:POLK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LAC
Authorized Official - Phone:720-272-9573
Mailing Address - Street 1:1777 S BELLAIRE ST STE 165
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4310
Mailing Address - Country:US
Mailing Address - Phone:720-282-4590
Mailing Address - Fax:303-997-0072
Practice Address - Street 1:1777 S BELLAIRE ST STE 165
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4310
Practice Address - Country:US
Practice Address - Phone:720-282-4590
Practice Address - Fax:303-997-0072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty