Provider Demographics
NPI:1801397195
Name:TOBI BRENNER, PLLC
Entity Type:Organization
Organization Name:TOBI BRENNER, PLLC
Other - Org Name:EMPOWHER COUNSELING
Other - Org Type:Other Name
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TOBI
Authorized Official - Middle Name:
Authorized Official - Last Name:BRENNER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, NCC
Authorized Official - Phone:303-500-3307
Mailing Address - Street 1:2034 W 31ST AVE UNIT C
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-5626
Mailing Address - Country:US
Mailing Address - Phone:720-855-3915
Mailing Address - Fax:
Practice Address - Street 1:4140 TEJON ST STE 204
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-1813
Practice Address - Country:US
Practice Address - Phone:303-500-3307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-22
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty