Provider Demographics
NPI:1801338355
Name:BEERS, ELYSSABETH (LPC)
Entity type:Individual
Prefix:
First Name:ELYSSABETH
Middle Name:
Last Name:BEERS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10333 ZUNI ST APT C201
Mailing Address - Street 2:
Mailing Address - City:FEDERAL HEIGHTS
Mailing Address - State:CO
Mailing Address - Zip Code:80260-6176
Mailing Address - Country:US
Mailing Address - Phone:918-313-7625
Mailing Address - Fax:
Practice Address - Street 1:10333 ZUNI ST APT C201
Practice Address - Street 2:
Practice Address - City:FEDERAL HEIGHTS
Practice Address - State:CO
Practice Address - Zip Code:80260-6176
Practice Address - Country:US
Practice Address - Phone:918-313-7625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-15
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0013274101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health