Provider Demographics
NPI:1023553237
Name:SALTIS, MICHELLE N (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:N
Last Name:SALTIS
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 MCCLELLAND DR STE 3600
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-2587
Mailing Address - Country:US
Mailing Address - Phone:720-441-6446
Mailing Address - Fax:
Practice Address - Street 1:2850 MCCLELLAND DR STE 3600
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-2587
Practice Address - Country:US
Practice Address - Phone:720-441-6446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-23
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0015053101YM0800X
101YM0800X
CO0015221101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health