Provider Demographics
NPI:1023833233
Name:ROCKY MOUNTAIN THERAPY, PLLC
Entity type:Organization
Organization Name:ROCKY MOUNTAIN THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:EMERY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:661-622-3545
Mailing Address - Street 1:PO BOX 2191
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-1513
Mailing Address - Country:US
Mailing Address - Phone:661-622-3545
Mailing Address - Fax:
Practice Address - Street 1:220 S WILCOX ST # 2191
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-9997
Practice Address - Country:US
Practice Address - Phone:661-622-3545
Practice Address - Fax:661-793-6520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty