Provider Demographics
NPI:1518729870
Name:AGNIESZKA BAKLAZEC PLLC
Entity Type:Organization
Organization Name:AGNIESZKA BAKLAZEC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AGNIESZKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKLAZEC
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, LAC
Authorized Official - Phone:720-323-2628
Mailing Address - Street 1:1777 S BELLAIRE ST STE 419
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4322
Mailing Address - Country:US
Mailing Address - Phone:720-515-1368
Mailing Address - Fax:303-759-0332
Practice Address - Street 1:1777 S BELLAIRE ST STE 419
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4322
Practice Address - Country:US
Practice Address - Phone:720-515-1368
Practice Address - Fax:303-759-0332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty