Provider Demographics
NPI:1679167704
Name:ROCKY MOUNTAIN MFT
Entity type:Organization
Organization Name:ROCKY MOUNTAIN MFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OPPY
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:303-929-1196
Mailing Address - Street 1:8275 E 11TH AVE UNIT 202776
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-6814
Mailing Address - Country:US
Mailing Address - Phone:303-929-1196
Mailing Address - Fax:855-326-2300
Practice Address - Street 1:1776 S JACKSON ST STE 1008
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3808
Practice Address - Country:US
Practice Address - Phone:303-929-1196
Practice Address - Fax:855-326-2300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1225647373Medicaid