Organization Name: | D E SCHENK PLLC |
NPI Number: | 1043406531 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENISE E SCHENK BASLEY (OWNER PSYCHOTHERAPIST) |
Mailing Address: | 128 W 14th Street Durango |
State: | CO US |
Postal Code: | 87301 |
Phone Number: | 9703857933 |
Fax Number: | 9703857933 |
NPI Enumeration Date: | 09/19/2007 |
NPI Last Update Date: | 09/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 5702 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |