Healthcare Provider Details

I. General information

NPI: 1356854392
Provider Name (Legal Business Name): MEAGHAN BURNS SABLICH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2432 S DOWNING ST UNIT AB
DENVER CO
80210-5812
US

IV. Provider business mailing address

495 UINTA WAY STE 120
DENVER CO
80230-7198
US

V. Phone/Fax

Practice location:
  • Phone: 314-504-2346
  • Fax:
Mailing address:
  • Phone: 303-344-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCSW.09923180
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: