Provider Demographics
NPI:1043406531
Name:D E SCHENK PLLC
Entity Type:Organization
Organization Name:D E SCHENK PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHENK BASLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC CAC III
Authorized Official - Phone:970-385-7933
Mailing Address - Street 1:PO BOX 582
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81302
Mailing Address - Country:US
Mailing Address - Phone:970-385-7933
Mailing Address - Fax:970-385-7933
Practice Address - Street 1:128 W 14TH STREET
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:87301
Practice Address - Country:US
Practice Address - Phone:970-385-7933
Practice Address - Fax:970-385-7933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3125101Y00000X
CO5702101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty