Provider Demographics
NPI:1194399006
Name:SHANNON OBERNDORF
Entity Type:Organization
Organization Name:SHANNON OBERNDORF
Other - Org Name:FAMILIES UNITED NOW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRINCIPLE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:OBERNDORF
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:720-336-0850
Mailing Address - Street 1:607 E 10TH AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3251
Mailing Address - Country:US
Mailing Address - Phone:303-875-2938
Mailing Address - Fax:
Practice Address - Street 1:5650 GREENWOOD PLAZA BLVD STE 225B
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2311
Practice Address - Country:US
Practice Address - Phone:720-336-0850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-14
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)