Provider Demographics
NPI:1578197349
Name:BURKEY-SKYE, HEATHER M (LPC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:M
Last Name:BURKEY-SKYE
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 1:1223 FAIRFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-5822
Mailing Address - Country:US
Mailing Address - Phone:303-810-3812
Mailing Address - Fax:
Practice Address - Street 1:1223 FAIRFIELD AVE
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-5822
Practice Address - Country:US
Practice Address - Phone:303-810-3812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0015999101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO84-0404251Medicaid