Provider Demographics
NPI:1235672031
Name:JULIE REICHENBERGER, MA, LPC, PLLC
Entity Type:Organization
Organization Name:JULIE REICHENBERGER, MA, LPC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:REICHENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-720-7965
Mailing Address - Street 1:1780 S BELLAIRE ST STE 485
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4326
Mailing Address - Country:US
Mailing Address - Phone:303-809-3341
Mailing Address - Fax:
Practice Address - Street 1:1780 SOUTH BELLAIRE STREET, SUITE 485
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222
Practice Address - Country:US
Practice Address - Phone:303-809-3341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-28
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC11098101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty