Provider Demographics
NPI:1164109682
Name:ROBBINS, ELYSIA (LPC)
Entity Type:Individual
Prefix:
First Name:ELYSIA
Middle Name:
Last Name:ROBBINS
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 1:10000 E ALAMEDA AVE APT 229
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-1319
Mailing Address - Country:US
Mailing Address - Phone:607-368-3958
Mailing Address - Fax:
Practice Address - Street 1:10000 E ALAMEDA AVE APT 229
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-1319
Practice Address - Country:US
Practice Address - Phone:607-368-3958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0019352101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health