Provider Demographics
NPI:1629492681
Name:HARRIS, LINDSAY (MS)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9074 ELLIS WAY
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-5832
Mailing Address - Country:US
Mailing Address - Phone:303-412-3731
Mailing Address - Fax:
Practice Address - Street 1:720 W 84TH AVE
Practice Address - Street 2:SUITE #224
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80260-4810
Practice Address - Country:US
Practice Address - Phone:303-412-3731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-11
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0013527101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor