Healthcare Provider Details

I. General information

NPI: 1801504469
Provider Name (Legal Business Name): REBECCA TARNOWSKI LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA SCHILDER

II. Dates (important events)

Enumeration Date: 11/11/2022
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 INVERNESS CIR E UNIT E104
ENGLEWOOD CO
80112-5511
US

IV. Provider business mailing address

88 INVERNESS CIR E UNIT E104
ENGLEWOOD CO
80112-5511
US

V. Phone/Fax

Practice location:
  • Phone: 303-900-2502
  • Fax:
Mailing address:
  • Phone: 303-900-2502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.022708
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: