Healthcare Provider Details

I. General information

NPI: 1154226371
Provider Name (Legal Business Name): AMBER TRAUB LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13659 E 104TH AVE UNIT 800
COMMERCE CITY CO
80022-9406
US

IV. Provider business mailing address

13659 E 104TH AVE UNIT 800
COMMERCE CITY CO
80022-9406
US

V. Phone/Fax

Practice location:
  • Phone: 720-515-0059
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0025232
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: