Provider Demographics
NPI:1760206742
Name:STEMS THERAPY COLLECTIVE LLC
Entity type:Organization
Organization Name:STEMS THERAPY COLLECTIVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/CO-DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:VERALDI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:303-947-0913
Mailing Address - Street 1:PO BOX 6035
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-0001
Mailing Address - Country:US
Mailing Address - Phone:303-947-0913
Mailing Address - Fax:
Practice Address - Street 1:4130 TEJON ST STE C
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-1813
Practice Address - Country:US
Practice Address - Phone:303-947-0913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty