Provider Demographics
NPI:1174022065
Name:ELLIOTT, MARGARET (MA, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:954 HY VU DR
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-4836
Mailing Address - Country:US
Mailing Address - Phone:720-515-7211
Mailing Address - Fax:
Practice Address - Street 1:2460 W 26TH AVE STE 165C
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-5307
Practice Address - Country:US
Practice Address - Phone:720-515-7211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-06
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0014326101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional