Healthcare Provider Details

I. General information

NPI: 1467167080
Provider Name (Legal Business Name): ANNABELLE DENMARK LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2023
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N GRANT ST STE 11964
DENVER CO
80203-1859
US

IV. Provider business mailing address

7805 WESTERN CT SW
OLYMPIA WA
98512-1803
US

V. Phone/Fax

Practice location:
  • Phone: 720-387-9664
  • Fax:
Mailing address:
  • Phone: 720-387-9664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0021783
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: