Provider Demographics
NPI:1386449627
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:DR
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 1:275 S MAIN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-6461
Mailing Address - Country:US
Mailing Address - Phone:720-707-1806
Mailing Address - Fax:
Practice Address - Street 1:275 S MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-6461
Practice Address - Country:US
Practice Address - Phone:720-707-1806
Practice Address - Fax:720-295-1911
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THORNWOOD WELLNESS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty