Befullyalive Psychotherapy Pllc

LBN: Befullyalive Psychotherapy Pllc
Befullyalive Psychotherapy Pllc is an health care organization with primary practice located at 3005 47Th St Ste F4 , Boulder CO 80301-5550. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Befullyalive Psychotherapy Pllc can be contacted via phone (408) 997-1866, or through Hartke, Claudia via phone (408) 997-1866.

Contact Information

Primary practice address
3005 47Th St Ste F4 Boulder CO 80301-5550
Phone: (408) 997-1866
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hartke, Claudia PHD
Phone: (408) 997-1866

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1467039834
LBN Legal business name Befullyalive Psychotherapy Pllc
DBA Doing business as
Authorized official Hartke, Claudia PHD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2021
Last updated Mar 24th, 2021 - about 3 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 1467039834 NPPES
Colorado MEDICAID 9000180481

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