Provider Demographics
NPI:1679947279
Name:DONNA SCHWARTZ, LLC
Entity Type:Organization
Organization Name:DONNA SCHWARTZ, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MFT, CAC III
Authorized Official - Phone:720-584-6423
Mailing Address - Street 1:6081 S QUEBEC ST
Mailing Address - Street 2:#103
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4536
Mailing Address - Country:US
Mailing Address - Phone:720-584-6423
Mailing Address - Fax:
Practice Address - Street 1:6081 S. QUEBEC ST.
Practice Address - Street 2:#103
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80111
Practice Address - Country:US
Practice Address - Phone:720-584-6423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-19
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS27273251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO106H00000XOtherMARRIAGE AND FAMILY THERAPIST