Provider Demographics
NPI:1750839007
Name:NIESS, ANNE ELIZABETH BLISS (MA, LPCC, MFT)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:ELIZABETH BLISS
Last Name:NIESS
Suffix:
Gender:F
Credentials:MA, LPCC, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6530 S YOSEMITE ST
Mailing Address - Street 2:SUITE #210
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-5171
Mailing Address - Country:US
Mailing Address - Phone:720-778-4077
Mailing Address - Fax:
Practice Address - Street 1:6530 S YOSEMITE ST
Practice Address - Street 2:SUITE #210
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-5171
Practice Address - Country:US
Practice Address - Phone:720-778-4077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-15
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC.0106857101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional