THE OTHER THERAPY ONLINE LLC NPI 1063192276

NPI Information

  • NPI: 1063192276
  • Provider Name: THE OTHER THERAPY ONLINE, LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 1650 38TH ST STE 100E
    BOULDER, CO
    ZIP 80301
  • Phone: (970) 319-7190

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NPI Details

THE OTHER THERAPY ONLINE, LLC is a professional counselor in Boulder, CO. THE OTHER THERAPY ONLINE, LLC NPI is 1063192276. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1650 38TH ST STE 100E
BOULDER, CO
ZIP 80301-624
Phone: (970) 319-7190

The provider's authorized official is Trevor Brown .
The authorized official title is Ceo and has the following contact phone number (970) 319-7190.

The enumeration date for this NPI number is 7/21/2023 and was last updated on 7/21/2023.

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
1101YP2500XCounselorProfessionalYes

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: 11/21/2025

NPI Synchronization or Removal

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