Provider Demographics
NPI:1740980648
Name:CHRONICLES THERAPY COLLECTIVE, LLC
Entity type:Organization
Organization Name:CHRONICLES THERAPY COLLECTIVE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:EBONY
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWNER
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:303-578-8582
Mailing Address - Street 1:600 17TH STREET
Mailing Address - Street 2:SUITE 2892 SOUTH
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202
Mailing Address - Country:US
Mailing Address - Phone:303-578-8582
Mailing Address - Fax:
Practice Address - Street 1:600 17TH STREET
Practice Address - Street 2:SUITE 2892 SOUTH
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202
Practice Address - Country:US
Practice Address - Phone:303-578-8582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)