Provider Demographics
NPI:1841602513
Name:TURECEK, AMANDA (LMFT, LAC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:TURECEK
Suffix:
Gender:F
Credentials:LMFT, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19641 E PARKER SQUARE DR STE J
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-7397
Mailing Address - Country:US
Mailing Address - Phone:720-340-7000
Mailing Address - Fax:720-764-7494
Practice Address - Street 1:19641 E PARKER SQUARE DR
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-7399
Practice Address - Country:US
Practice Address - Phone:720-340-7000
Practice Address - Fax:720-764-7494
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-28
Last Update Date:2022-08-27
Deactivation Date:2015-09-29
Deactivation Code:
Reactivation Date:2018-08-13
Provider Licenses
StateLicense IDTaxonomies
CO0001012101YA0400X
COMFT.0001254106H00000X
CO0001254101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist