Provider Demographics
NPI:1700183050
Name:HIGH MOUNTAIN THERAPY LLC
Entity Type:Organization
Organization Name:HIGH MOUNTAIN THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:SWITZER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:303-816-0075
Mailing Address - Street 1:PO BOX 868
Mailing Address - Street 2:
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-0868
Mailing Address - Country:US
Mailing Address - Phone:303-816-0075
Mailing Address - Fax:
Practice Address - Street 1:25577 CONIFER RD
Practice Address - Street 2:SUITE 203
Practice Address - City:CONIFER
Practice Address - State:CO
Practice Address - Zip Code:80433-9068
Practice Address - Country:US
Practice Address - Phone:303-816-0075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5434101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty