Provider Demographics
NPI:1285431478
Name:CULTIVATING COMPASSION THERAPY PLLC
Entity type:Organization
Organization Name:CULTIVATING COMPASSION THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:MECHELLE
Authorized Official - Last Name:GLASER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-994-8515
Mailing Address - Street 1:80 GARDEN CTR STE 24
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-1773
Mailing Address - Country:US
Mailing Address - Phone:720-994-8515
Mailing Address - Fax:
Practice Address - Street 1:80 GARDEN CTR STE 24
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-1773
Practice Address - Country:US
Practice Address - Phone:720-994-8515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty