Provider Demographics
NPI:1326172933
Name:YERGLER, MICHAEL J (LPC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:YERGLER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2345 ACADEMY PL STE 212
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-1681
Mailing Address - Country:US
Mailing Address - Phone:719-465-9296
Mailing Address - Fax:719-597-6598
Practice Address - Street 1:2345 ACADEMY PL STE 212
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-1681
Practice Address - Country:US
Practice Address - Phone:719-465-9296
Practice Address - Fax:719-597-6598
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4868101YP2500X, 101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist