Provider Demographics
NPI:1346440393
Name:BRUMLEVE, ERIN M (MA, LPC, ATR)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:M
Last Name:BRUMLEVE
Suffix:
Gender:F
Credentials:MA, LPC, ATR
Other - Prefix:MISS
Other - First Name:ERIN
Other - Middle Name:M
Other - Last Name:KUECHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC, ATR
Mailing Address - Street 1:1571 RACE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1307
Mailing Address - Country:US
Mailing Address - Phone:303-681-7913
Mailing Address - Fax:
Practice Address - Street 1:1571 RACE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-1307
Practice Address - Country:US
Practice Address - Phone:303-681-7913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5056101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO62473077Medicaid