Provider Demographics
NPI:1578325163
Name:MEANEY, ANNE (MTFC, LPCC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:MEANEY
Suffix:
Gender:F
Credentials:MTFC, LPCC
Other - Prefix:
Other - First Name:ANNIE
Other - Middle Name:
Other - Last Name:MEANEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MFTC, LPCC
Mailing Address - Street 1:2415 N VINE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-5655
Mailing Address - Country:US
Mailing Address - Phone:508-523-8339
Mailing Address - Fax:
Practice Address - Street 1:301 W MAIN ST.
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443
Practice Address - Country:US
Practice Address - Phone:970-316-3621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0021720101YM0800X
COMFTC.0014595106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty