Basic Information
| Provider Information | |||||||||
| NPI: | 1073947420 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FEIGHNY | ||||||||
| FirstName: | ELLEN | ||||||||
| MiddleName: | PATRICIA | ||||||||
| NamePrefix: | MISS | ||||||||
| NameSuffix: | |||||||||
| Credential: | LCSW, LAC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1811 S QUEBEC WAY APT 177 | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802312674 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7202715621 | ||||||||
| FaxNumber: | 3038890838 | ||||||||
| Practice Location | |||||||||
| Address1: | 667 BANNOCK | ||||||||
| Address2: | UNIT 9 PAV K MAIL CODE 3450 | ||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 80204 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3036024868 | ||||||||
| FaxNumber: | 3034366627 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/21/2013 | ||||||||
| LastUpdateDate: | 03/27/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/27/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | 0000534 | CO | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 101YA0400X | ACD.0000534 | CO | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 104100000X | LSW.0009920037 | CO | N | Behavioral Health & Social Service Providers | Social Worker | 1041C0700X | 3324184 | CO | N | Behavioral Health & Social Service Providers | Social Worker | Clinical | 1041C0700X | 09924184 | CO | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.