Autumn Tree Therapy

LBN: Autumn Tree Therapy
Autumn Tree Therapy is an health care organization with primary practice located at 2935 Baseline Rd Ste. 302, Boulder CO 80303-2366. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Autumn Tree Therapy can be contacted via phone (303) 875-2364, or through Cohen-Fox, Carley via phone (303) 875-2364.

Contact Information

Primary practice address
2935 Baseline Rd Ste. 302 Boulder CO 80303-2366
Phone: (303) 875-2364
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cohen-Fox, Carley MSW LCSW CMC
Phone: (303) 875-2364

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 727 Colorado

Profile Details

NPI number 1750812889
LBN Legal business name Autumn Tree Therapy
DBA Doing business as
Authorized official Cohen-Fox, Carley MSW LCSW CMC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2017
Last updated Mar 21st, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750812889 NPPES
Colorado MEDICAID 54105081

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