Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emergence Psychedelic Therapy, LLC

Organization Clinic/Center · NPI 1407723497

Emergence Psychedelic Therapy, LLC is a Clinic/Center in Boulder, Colorado. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

825 S Broadway St Ste 100
Boulder, CO 80305-5932
Phone: (303) 578-8845
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1407723497
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Green — Owner · (720) 442-3565
NPI enumeratedOctober 22, 2025
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 23, 2026
Mailing address825 S Broadway St Ste 100, Boulder, CO 80305-5932

Other providers in Boulder