Healthcare Provider Details

I. General information

NPI: 1831055110
Provider Name (Legal Business Name): ELIZABETH RUTH PSZANKA MA, MED, LAC, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2619 MOUNTAIN VIEW AVE
FRANKTOWN CO
80116-9635
US

IV. Provider business mailing address

2619 MOUNTAIN VIEW AVE
FRANKTOWN CO
80116-9635
US

V. Phone/Fax

Practice location:
  • Phone: 720-339-9028
  • Fax:
Mailing address:
  • Phone: 720-339-9028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACD.0002881
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: