Provider Demographics
NPI:1144436635
Name:EADS, ROSEMARY (MA, LPC)
Entity type:Individual
Prefix:MS
First Name:ROSEMARY
Middle Name:
Last Name:EADS
Suffix:
Gender:F
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 1:9998 N DRANSFELDT RD
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-4022
Mailing Address - Country:US
Mailing Address - Phone:720-839-1556
Mailing Address - Fax:303-341-4745
Practice Address - Street 1:1306 S. DUQUESNE CIR.
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80018
Practice Address - Country:US
Practice Address - Phone:720-839-1556
Practice Address - Fax:303-341-4745
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5129101YM0800X
NM0103701101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health