Healthcare Provider Details

I. General information

NPI: 1265128474
Provider Name (Legal Business Name): ANGELICA ALVARENGA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2023
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4242 DELAWARE ST
DENVER CO
80216-2618
US

IV. Provider business mailing address

4141 E DICKENSON PL
DENVER CO
80222-6012
US

V. Phone/Fax

Practice location:
  • Phone: 303-825-8113
  • Fax:
Mailing address:
  • Phone: 303-504-6500
  • Fax: 303-782-0916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0022110
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: