Healthcare Provider Details

I. General information

NPI: 1558903971
Provider Name (Legal Business Name): LIVING STORY THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2019
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 S BROADWAY STE 200-366
DENVER CO
80209-1558
US

IV. Provider business mailing address

303 S BROADWAY STE 200-366
DENVER CO
80209-1558
US

V. Phone/Fax

Practice location:
  • Phone: 720-987-0897
  • Fax:
Mailing address:
  • Phone: 720-987-0897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMANDA CHRISTINE EARLE
Title or Position: OWNER & LICENSED PROVIDER
Credential: MA, LAC, LPC, LMHC
Phone: 720-987-0897