Provider Demographics
NPI:1215527809
Name:ROCKY MOUNTAIN BEHAVIORAL MEDICINE LLC
Entity type:Organization
Organization Name:ROCKY MOUNTAIN BEHAVIORAL MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SHERWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:720-270-8609
Mailing Address - Street 1:1191 S PARKER RD STE 101
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-2153
Mailing Address - Country:US
Mailing Address - Phone:720-633-9693
Mailing Address - Fax:720-386-1086
Practice Address - Street 1:1191 S PARKER RD STE 101
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-2153
Practice Address - Country:US
Practice Address - Phone:720-633-9693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROCKY MOUNTAIN BEHAVIORAL MEDICINE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-19
Last Update Date:2025-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty