Healthcare Provider Details

I. General information

NPI: 1598486284
Provider Name (Legal Business Name): SYDNEY FAHL ANKENBRANDT MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2022
Last Update Date: 09/09/2022
Certification Date: 09/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 S TAMARAC DR
DENVER CO
80231-4360
US

IV. Provider business mailing address

3201 S TAMARAC DR
DENVER CO
80231-4360
US

V. Phone/Fax

Practice location:
  • Phone: 303-597-5000
  • Fax:
Mailing address:
  • Phone: 303-597-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: