Provider Demographics
NPI:1023883923
Name:GEM THERAPY LLC
Entity type:Organization
Organization Name:GEM THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERALDINE
Authorized Official - Middle Name:ELENA
Authorized Official - Last Name:MONTERROSO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:303-828-8595
Mailing Address - Street 1:6698 S IRIS ST UNIT 621472
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80162-3062
Mailing Address - Country:US
Mailing Address - Phone:303-828-8595
Mailing Address - Fax:
Practice Address - Street 1:6279 W 38TH AVE STE 8
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-5068
Practice Address - Country:US
Practice Address - Phone:303-828-8595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1164052601OtherNPI