Provider Demographics
NPI:1902517865
Name:PHIPPS, EMILY (LPC)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:
Last Name:PHIPPS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:
Other - Last Name:PHIPPS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:815 S PERRY ST STE 200
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-3376
Mailing Address - Country:US
Mailing Address - Phone:720-398-8806
Mailing Address - Fax:
Practice Address - Street 1:815 S PERRY ST STE 200
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-3376
Practice Address - Country:US
Practice Address - Phone:720-398-8806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
COLPC.0013636101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health