Healthcare Provider Details

I. General information

NPI: 1730997404
Provider Name (Legal Business Name): BRYNN MEREDITH ROBLES MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2024
Last Update Date: 12/26/2024
Certification Date: 12/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 E HARVARD AVE STE 650
DENVER CO
80210-7009
US

IV. Provider business mailing address

950 E HARVARD AVE STE 650
DENVER CO
80210-7009
US

V. Phone/Fax

Practice location:
  • Phone: 720-574-2189
  • Fax:
Mailing address:
  • Phone: 720-574-2189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0020896
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: