Provider Demographics
NPI:1881587434
Name:1336 THERAPY
Entity type:Organization
Organization Name:1336 THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SYPEK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:720-314-8105
Mailing Address - Street 1:357 S DOWNING ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-2434
Mailing Address - Country:US
Mailing Address - Phone:720-314-8105
Mailing Address - Fax:
Practice Address - Street 1:357 S DOWNING ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-2434
Practice Address - Country:US
Practice Address - Phone:720-314-8105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty