Provider Demographics
NPI:1619143948
Name:ALLEN, BECKY I (LPC, LAC)
Entity Type:Individual
Prefix:MS
First Name:BECKY
Middle Name:I
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3955 E EXPOSITION AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-5033
Mailing Address - Country:US
Mailing Address - Phone:720-306-1383
Mailing Address - Fax:719-309-0911
Practice Address - Street 1:2460 W 26TH AVE STE 30C
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-5340
Practice Address - Country:US
Practice Address - Phone:720-306-1383
Practice Address - Fax:719-309-0911
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-06
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3560101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health