Provider Demographics
NPI:1366670036
Name:LIPSCOMB, RHODA JUANITA (LPC)
Entity Type:Individual
Prefix:MS
First Name:RHODA
Middle Name:JUANITA
Last Name:LIPSCOMB
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6901 S YOSEMITE ST
Mailing Address - Street 2:SUITE 201A
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1442
Mailing Address - Country:US
Mailing Address - Phone:720-530-6545
Mailing Address - Fax:
Practice Address - Street 1:6901 S YOSEMITE ST
Practice Address - Street 2:SUITE 201A
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1442
Practice Address - Country:US
Practice Address - Phone:720-530-6545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC-5299101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional