Provider Demographics
NPI:1124198478
Name:HERRINGTON, LETA J (LPC, DMIN, MAC)
Entity Type:Individual
Prefix:DR
First Name:LETA
Middle Name:J
Last Name:HERRINGTON
Suffix:
Gender:F
Credentials:LPC, DMIN, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3251 S LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2923
Mailing Address - Country:US
Mailing Address - Phone:720-926-8366
Mailing Address - Fax:
Practice Address - Street 1:1211 S PARKER RD STE 103
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-2155
Practice Address - Country:US
Practice Address - Phone:720-926-8366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO101YA0400X
101YP1600X
CO0011334101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral