Provider Demographics
NPI:1942012943
Name:THORNWOOD WELLNESS LLC
Entity type:Organization
Organization Name:THORNWOOD WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:R
Authorized Official - Last Name:BRUNICK
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:303-908-5560
Mailing Address - Street 1:620 FRONT RANGE RD
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-4052
Mailing Address - Country:US
Mailing Address - Phone:303-908-5560
Mailing Address - Fax:
Practice Address - Street 1:1935 65TH AVE UNIT 1
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-8556
Practice Address - Country:US
Practice Address - Phone:303-908-5560
Practice Address - Fax:970-306-6916
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OUTPATIENT MENTAL HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-25
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)