Provider Demographics
NPI:1568147296
Name:PARIS MACNIVEN, EMILY JANE (LPC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:JANE
Last Name:PARIS MACNIVEN
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 1:5338 W HOGE DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47403-8006
Mailing Address - Country:US
Mailing Address - Phone:719-239-1928
Mailing Address - Fax:
Practice Address - Street 1:2749 TENDER DR
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-7315
Practice Address - Country:US
Practice Address - Phone:866-633-4288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0019496101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health