Provider Demographics
NPI:1932567740
Name:MOLLY ANN HEGGE
Entity Type:Organization
Organization Name:MOLLY ANN HEGGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MOLLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HEGGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-467-2624
Mailing Address - Street 1:6475 WADSWORTH BLVD STE 324
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-4444
Mailing Address - Country:US
Mailing Address - Phone:303-467-2624
Mailing Address - Fax:
Practice Address - Street 1:6475 WADSWORTH BLVD STE 324
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-4444
Practice Address - Country:US
Practice Address - Phone:303-467-2624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CREATIVE TREATMENT OPTIONS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-02-08
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0106081251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health