Healthcare Provider Details

I. General information

NPI: 1881084515
Provider Name (Legal Business Name): MELISSA SCHWAPPACH LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2015
Last Update Date: 01/07/2020
Certification Date: 01/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2696 S COLORADO BLVD
DENVER CO
80222-5945
US

IV. Provider business mailing address

2696 S COLORADO BLVD
DENVER CO
80222-5945
US

V. Phone/Fax

Practice location:
  • Phone: 303-639-5240
  • Fax:
Mailing address:
  • Phone: 303-639-5240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0015709
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: