Provider Demographics
NPI:1578459285
Name:EXISTENTIAL BUREAU PLLC
Entity type:Organization
Organization Name:EXISTENTIAL BUREAU PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:KEYES
Authorized Official - Suffix:II
Authorized Official - Credentials:LPC
Authorized Official - Phone:720-600-7588
Mailing Address - Street 1:3505 FAIRFAX ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-1110
Mailing Address - Country:US
Mailing Address - Phone:720-600-7588
Mailing Address - Fax:
Practice Address - Street 1:3505 FAIRFAX ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80207-1110
Practice Address - Country:US
Practice Address - Phone:720-600-7588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health