Provider Demographics
NPI:1386320927
Name:MADELINE HELEN PSYCHOTHERAPY, LLC
Entity type:Organization
Organization Name:MADELINE HELEN PSYCHOTHERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CLINICAL
Authorized Official - Prefix:
Authorized Official - First Name:MADELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIEBEL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:505-456-2348
Mailing Address - Street 1:2512 CALIFORNIA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-2930
Mailing Address - Country:US
Mailing Address - Phone:614-260-0454
Mailing Address - Fax:
Practice Address - Street 1:2512 CALIFORNIA ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-2930
Practice Address - Country:US
Practice Address - Phone:505-456-2348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty