Provider Demographics
NPI:1437371754
Name:ATKINS, TERESE ANN (LPC)
Entity Type:Individual
Prefix:
First Name:TERESE
Middle Name:ANN
Last Name:ATKINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TERI
Other - Middle Name:
Other - Last Name:ATKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:2255 S. 88TH STREET
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027
Mailing Address - Country:US
Mailing Address - Phone:303-666-2061
Mailing Address - Fax:303-673-9703
Practice Address - Street 1:2255 S. 88TH STREET
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027
Practice Address - Country:US
Practice Address - Phone:303-666-2061
Practice Address - Fax:303-673-9703
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1062101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional