Provider Demographics
NPI:1144736349
Name:PIGSLEY, RENEE (MS, LMHP, LPC)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:PIGSLEY
Suffix:
Gender:F
Credentials:MS, LMHP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 YALE AVE
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-1717
Mailing Address - Country:US
Mailing Address - Phone:402-830-7280
Mailing Address - Fax:
Practice Address - Street 1:1049 ROBERTSON ST
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-3926
Practice Address - Country:US
Practice Address - Phone:402-819-8694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-26
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11356101YM0800X
NE5573101YM0800X
CO0016988101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health