Provider Demographics
NPI:1497476261
Name:STOBIE, ANTHEA GRACE (MA, LPC)
Entity type:Individual
Prefix:
First Name:ANTHEA
Middle Name:GRACE
Last Name:STOBIE
Suffix:
Gender:
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 E 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3664
Mailing Address - Country:US
Mailing Address - Phone:818-974-4393
Mailing Address - Fax:
Practice Address - Street 1:13731 E RICE PL STE 200
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-1077
Practice Address - Country:US
Practice Address - Phone:720-949-1707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-08
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0019709101YP2500X
CO0022051101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO84-379-3311Medicaid
CO9000242934Medicaid