Healthcare Provider Details

I. General information

NPI: 1811233323
Provider Name (Legal Business Name): EMMA KOBIL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2013
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1312 17TH ST STE 970
DENVER CO
80202-1508
US

IV. Provider business mailing address

1312 17TH ST STE 970
DENVER CO
80202-1508
US

V. Phone/Fax

Practice location:
  • Phone: 720-515-7344
  • Fax:
Mailing address:
  • Phone: 720-515-7344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0012512
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: