Healthcare Provider Details

I. General information

NPI: 1811356041
Provider Name (Legal Business Name): SARAH SCHOEFFEL MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2016
Last Update Date: 02/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1724 N GILPIN ST
DENVER CO
80218-1206
US

IV. Provider business mailing address

4627 W MONCRIEFF PL
DENVER CO
80212-1603
US

V. Phone/Fax

Practice location:
  • Phone: 303-237-6873
  • Fax:
Mailing address:
  • Phone: 202-615-1986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberNLC.0105331
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: