Provider Demographics
NPI:1407877525
Name:MACY, SHARLA (LMFT)
Entity Type:Individual
Prefix:
First Name:SHARLA
Middle Name:
Last Name:MACY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2595 SPRUCE ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-3806
Mailing Address - Country:US
Mailing Address - Phone:720-304-2731
Mailing Address - Fax:
Practice Address - Street 1:2595 SPRUCE ST
Practice Address - Street 2:SUITE B
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-3806
Practice Address - Country:US
Practice Address - Phone:720-304-2731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO186106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist