Healthcare Provider Details

I. General information

NPI: 1578498119
Provider Name (Legal Business Name): LYLA MICHELLE YANER LCSW, MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 E 7TH AVE
DENVER CO
80203-3504
US

IV. Provider business mailing address

217 E 7TH AVE
DENVER CO
80203-3504
US

V. Phone/Fax

Practice location:
  • Phone: 720-515-7122
  • Fax:
Mailing address:
  • Phone: 720-515-7122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09928566
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: