Provider Demographics
NPI:1588042840
Name:COOPER, LYNNETTE (LPC)
Entity Type:Individual
Prefix:
First Name:LYNNETTE
Middle Name:
Last Name:COOPER
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 1:2511 RAMSGATE CT.
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-4939
Mailing Address - Country:US
Mailing Address - Phone:303-549-7506
Mailing Address - Fax:303-758-6140
Practice Address - Street 1:3600 S YOSEMITE ST
Practice Address - Street 2:SUITE 1050
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-1812
Practice Address - Country:US
Practice Address - Phone:303-549-7506
Practice Address - Fax:303-758-6140
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-07
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0012212101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health