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Contact Information

BEFULLYALIVE PSYCHOTHERAPY PLLC
3005 47TH ST STE F4
BOULDER, CO80301-5550
 Phone: 408-997-1866
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BEFULLYALIVE PSYCHOTHERAPY PLLC

NPI Number 1467039834
LBN Legal business name BEFULLYALIVE PSYCHOTHERAPY PLLC
Authorized official CLAUDIA HARTKE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/24/2021
Last updated 03/24/2021 - About 5 years ago
Identifiers
CO Medicaid 9000180481
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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