Healthcare Provider Details

I. General information

NPI: 1508543398
Provider Name (Legal Business Name): MICHAEL VANG LPC, LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2023
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10327 WASHINGTON ST
THORNTON CO
80229-2003
US

IV. Provider business mailing address

10327 WASHINGTON ST
THORNTON CO
80229-2003
US

V. Phone/Fax

Practice location:
  • Phone: 720-379-6995
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACD.0002962
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0023689
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0021090
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: