Provider Demographics
NPI:1104364272
Name:ANGELA JEANNE ANDERSEN-HONNECKE
Entity Type:Organization
Organization Name:ANGELA JEANNE ANDERSEN-HONNECKE
Other - Org Name:ANGELA ANDERSEN LPC LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:720-284-8400
Mailing Address - Street 1:3415 N JOSEPHINE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-4120
Mailing Address - Country:US
Mailing Address - Phone:720-284-8400
Mailing Address - Fax:
Practice Address - Street 1:852 N BROADWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2723
Practice Address - Country:US
Practice Address - Phone:720-284-8400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-08
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty