| Transformational Therapy Institute | |
|
1905 15th St # 683 Boulder CO 80302-5413 | |
| (805) 679-1921 | |
| Not Available |
| Full Name | Transformational Therapy Institute |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1905 15th St # 683, Boulder, Colorado |
| Authorized Official Name and Position | Jeni Ambrose (PRESIDENT) |
| Authorized Official Contact | 8056791921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformational Therapy Institute Po Box 683 Boulder CO 80306-0683 Ph: () - | Transformational Therapy Institute 1905 15th St # 683 Boulder CO 80302-5413 Ph: (805) 679-1921 |
| NPI Number | 1386121846 |
|---|---|
| Provider Enumeration Date | 07/26/2018 |
| Last Update Date | 06/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386121846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 20181568363 (Colorado) | Primary |
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