Healthcare Provider Details

I. General information

NPI: 1376058537
Provider Name (Legal Business Name): ANNA SCHWENK LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2017
Last Update Date: 09/30/2023
Certification Date: 09/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 W DAVIES AVE N
LITTLETON CO
80120-5211
US

IV. Provider business mailing address

PO BOX 21150
BOULDER CO
80308-4150
US

V. Phone/Fax

Practice location:
  • Phone: 844-843-7279
  • Fax:
Mailing address:
  • Phone: 303-840-5139
  • Fax: 303-841-2076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0016287
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: