Healthcare Provider Details

I. General information

NPI: 1689505430
Provider Name (Legal Business Name): HAYLIE RUDY SCHWARTZ LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2629 REDWING RD STE 112
FORT COLLINS CO
80526-2879
US

IV. Provider business mailing address

616 PETERSON ST
FORT COLLINS CO
80524-3134
US

V. Phone/Fax

Practice location:
  • Phone: 512-300-9590
  • Fax:
Mailing address:
  • Phone: 512-300-9590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0024094
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: