Provider Demographics
NPI:1407231467
Name:COLLINSWORTH, CYNTHIA CORRINE (LPC)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:CORRINE
Last Name:COLLINSWORTH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:COLLINSWORTH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:5554 S PRINCE ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-1149
Mailing Address - Country:US
Mailing Address - Phone:303-761-7991
Mailing Address - Fax:
Practice Address - Street 1:155 INVERNESS DR W
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5095
Practice Address - Country:US
Practice Address - Phone:303-730-8858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-20
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12492101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional