Healthcare Provider Details

I. General information

NPI: 1245156777
Provider Name (Legal Business Name): NATALIE GWINN LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11990 GRANT ST STE 550
NORTHGLENN CO
80233-1101
US

IV. Provider business mailing address

2800 W 103RD AVE APT 1621
DENVER CO
80260-8602
US

V. Phone/Fax

Practice location:
  • Phone: 303-250-1327
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0024699
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: