Healthcare Provider Details

I. General information

NPI: 1215348586
Provider Name (Legal Business Name): GWEN BARTRAN MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2014
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E 29TH ST STE 270
LOVELAND CO
80538-2770
US

IV. Provider business mailing address

150 E 29TH ST STE 270
LOVELAND CO
80538-2770
US

V. Phone/Fax

Practice location:
  • Phone: 970-988-6978
  • Fax:
Mailing address:
  • Phone: 970-988-6978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number13622
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: