| Indepth Therapy, Llc | |
|
7400 W Jefferson Ave Ste 111 Lakewood CO 80235-2001 | |
| (720) 538-4357 | |
| (720) 232-2303 |
| Full Name | Indepth Therapy, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7400 W Jefferson Ave Ste 111, Lakewood, Colorado |
| Authorized Official Name and Position | Bethany Blankenheim (OWNER) |
| Authorized Official Contact | 7202322303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indepth Therapy, Llc 1008 Depot Hill Rd # 201 Broomfield CO 80020-6723 Ph: (720) 232-2303 | Indepth Therapy, Llc 7400 W Jefferson Ave Ste 111 Lakewood CO 80235-2001 Ph: (720) 538-4357 |
| NPI Number | 1124635867 |
|---|---|
| Provider Enumeration Date | 09/27/2020 |
| Last Update Date | 09/06/2023 |
| Certification Date | 09/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124635867 | NPI | - | NPPES |
| 59112557 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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