Healthcare Provider Details
I. General information
NPI: 1568514958
Provider Name (Legal Business Name): WENDY WALTON BAUMANN M.A., L.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
810 LINCOLN AVE SUITE 200
STEAMBOAT SPRINGS CO
80487-5005
US
IV. Provider business mailing address
PO BOX 773664
STEAMBOAT SPRINGS CO
80477-3664
US
V. Phone/Fax
- Phone: 970-879-7637
- Fax: 970-871-6811
- Phone: 970-879-7637
- Fax: 970-871-6811
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 602 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 148 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: