Provider Demographics
NPI:1346076437
Name:COLORADO COUPLES THERAPY
Entity type:Organization
Organization Name:COLORADO COUPLES THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WEDDLE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:720-289-6308
Mailing Address - Street 1:3434 47TH ST STE 230
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-1801
Mailing Address - Country:US
Mailing Address - Phone:720-504-8489
Mailing Address - Fax:
Practice Address - Street 1:3434 47TH ST STE 230
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1801
Practice Address - Country:US
Practice Address - Phone:720-504-8489
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty