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MIND BODY SPORT LLC NPI 1497273916


NPI Information

NPI: 1497273916
Provider Name: MIND BODY SPORT, LLC

Doing Business As: DENVER MENTAL HEALTH COLLECTIVE

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
2121 S ONEIDA ST STE 600
DENVER, CO
ZIP 80224
Phone: (720) 863-6100
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MIND BODY SPORT, LLC is a professional counselor in Denver, CO. MIND BODY SPORT, LLC NPI is 1497273916. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Denver Mental Health Collective.

The provider's business location address is:

2121 S ONEIDA ST STE 600
DENVER, CO
ZIP 80224-555
Phone: (720) 863-6100

The provider's authorized official is Ian J Palombo .
The authorized official title is President and has the following contact phone number (720) 863-6100.

The enumeration date for this NPI number is 9/5/2017 and was last updated on 4/20/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalYes
2133V00000XDietitian, RegisteredNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19000172843MEDICAIDCOLORADO

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.