MEDICARE: WHITNEY LENTZ LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	0015824	CO

General Provider Information

NPI Number	:	1245860055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY LENTZ LPC

Provider Business Mailing Address
First Line	:	3263 S IVY WAY
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-7557
Country	:	US
Telephone Number	:	214-726-5235
Fax Number	:

Provider Business Practice Location Address
First Line	:	8751 E HAMPDEN AVE STE A3
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-4928
Country	:	US
Telephone Number	:	720-334-8581
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2020
Last Update Date	:	01/21/2020

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