Provider Demographics
NPI:1407394026
Name:MORAVEC, REBECCA (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:
Last Name:MORAVEC
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 S YOSEMITE ST
Mailing Address - Street 2:SUITE 1050
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1812
Mailing Address - Country:US
Mailing Address - Phone:720-373-0799
Mailing Address - Fax:303-758-6140
Practice Address - Street 1:2460 W 26TH AVE
Practice Address - Street 2:SUITE 165
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-5308
Practice Address - Country:US
Practice Address - Phone:720-373-0799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-02
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0011206101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional