Provider Demographics
NPI:1093546947
Name:BLUEPRINT THERAPY LLC
Entity type:Organization
Organization Name:BLUEPRINT THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:
Authorized Official - Last Name:GART
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:954-304-4944
Mailing Address - Street 1:6490 W 44TH AVE
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-4738
Mailing Address - Country:US
Mailing Address - Phone:954-304-4944
Mailing Address - Fax:
Practice Address - Street 1:6490 W 44TH AVE
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4738
Practice Address - Country:US
Practice Address - Phone:954-304-4944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty