Healthcare Provider Details

I. General information

NPI: 1801533427
Provider Name (Legal Business Name): ELISE CHRISTINE HAUER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2022
Last Update Date: 05/16/2022
Certification Date: 05/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 WYNKOOP ST STE 303
DENVER CO
80202-1042
US

IV. Provider business mailing address

7130 W 30TH AVE
WHEAT RIDGE CO
80033-8050
US

V. Phone/Fax

Practice location:
  • Phone: 844-843-7279
  • Fax:
Mailing address:
  • Phone: 720-280-0659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0014381
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: