Healthcare Provider Details

I. General information

NPI: 1750839007
Provider Name (Legal Business Name): ANNE ELIZABETH BLISS NIESS MA, LPCC, MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2016
Last Update Date: 09/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6530 S YOSEMITE ST SUITE #210
GREENWOOD VILLAGE CO
80111-5171
US

IV. Provider business mailing address

6530 S YOSEMITE ST SUITE #210
GREENWOOD VILLAGE CO
80111-5171
US

V. Phone/Fax

Practice location:
  • Phone: 720-778-4077
  • Fax:
Mailing address:
  • Phone: 720-778-4077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberNLC.0106857
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: