Healthcare Provider Details

I. General information

NPI: 1689596470
Provider Name (Legal Business Name): BETH FELICE AMSEL LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

954 NORTH ST UNIT 302
BOULDER CO
80304-3420
US

IV. Provider business mailing address

PO BOX 21166
BOULDER CO
80308-4166
US

V. Phone/Fax

Practice location:
  • Phone: 720-720-4759
  • Fax:
Mailing address:
  • Phone: 720-720-4759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPCC.0024795
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: