Provider Demographics
NPI:1912922683
Name:DENVER PSYCHOTHERAPY AND CONSULTATION SERVICES, LLC
Entity Type:Organization
Organization Name:DENVER PSYCHOTHERAPY AND CONSULTATION SERVICES, LLC
Other - Org Name:DENVER PSYCHOTHERAPY, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, RN, ADTR
Authorized Official - Phone:303-399-9988
Mailing Address - Street 1:PO BOX 300265
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-0265
Mailing Address - Country:US
Mailing Address - Phone:303-399-9988
Mailing Address - Fax:303-399-9977
Practice Address - Street 1:131 W 10TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-4013
Practice Address - Country:US
Practice Address - Phone:303-399-9988
Practice Address - Fax:303-399-9977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1570101YP2500X
CO116891163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Not Answered163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Multi-Specialty