Provider Demographics
NPI:1235301540
Name:BELLAR, ERICA J (MA LPC)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:J
Last Name:BELLAR
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 S WILCOX ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-1910
Mailing Address - Country:US
Mailing Address - Phone:307-421-6635
Mailing Address - Fax:720-600-6792
Practice Address - Street 1:121 S WILCOX ST
Practice Address - Street 2:SUITE E
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-1910
Practice Address - Country:US
Practice Address - Phone:307-421-6635
Practice Address - Fax:720-600-6792
Is Sole Proprietor?:No
Enumeration Date:2008-03-26
Last Update Date:2015-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY1078101YM0800X
CO0011530101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health