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MIND GYM LLC NPI 1043919954


NPI Information

NPI: 1043919954
Provider Name: MIND GYM LLC
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
2861 W 120TH AVE STE 220
WESTMINSTER, CO
ZIP 80234
Phone: (720) 290-0154
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MIND GYM LLC is a marriage family therapist in Westminster, CO. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. MIND GYM LLC NPI is 1043919954. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2861 W 120TH AVE STE 220
WESTMINSTER, CO
ZIP 80234-985
Phone: (720) 290-0154
Fax: (720) 222-5533

The provider's authorized official is Leroy Matticks .
The authorized official title is Ceo and has the following contact phone number (720) 513-5092.

The enumeration date for this NPI number is 2/28/2023 and was last updated on 2/28/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalNo
2106H00000XMarriage & Family TherapistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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