Healthcare Provider Details

I. General information

NPI: 1699188235
Provider Name (Legal Business Name): ANN ELIZABETH TALBOTT MA, LPC, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2014
Last Update Date: 11/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6303 WADSWORTH BYPASS
ARVADA CO
80003
US

IV. Provider business mailing address

3738 W PRINCETON CIR
DENVER CO
80236-3110
US

V. Phone/Fax

Practice location:
  • Phone: 303-935-7004
  • Fax:
Mailing address:
  • Phone: 303-388-5894
  • Fax: 303-388-2808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACD.0000724
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0012522
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: