Healthcare Provider Details

I. General information

NPI: 1992661904
Provider Name (Legal Business Name): YSABELA ANAYA GONZALEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2026
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 W 16TH ST STE S
GREELEY CO
80634-6872
US

IV. Provider business mailing address

236 CAMPBELL LN
JOHNSTOWN CO
80534-4621
US

V. Phone/Fax

Practice location:
  • Phone: 970-888-3550
  • Fax:
Mailing address:
  • Phone: 720-248-9363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberTRAINEE
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: