Provider Demographics
NPI:1639861180
Name:MACIAS, GIOMARA (LPC)
Entity Type:Individual
Prefix:
First Name:GIOMARA
Middle Name:
Last Name:MACIAS
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 1:12200 E BRIARWOOD AVE UNIT 238
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-6702
Mailing Address - Country:US
Mailing Address - Phone:720-610-9747
Mailing Address - Fax:
Practice Address - Street 1:12200 E BRIARWOOD AVE UNIT 238
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-6702
Practice Address - Country:US
Practice Address - Phone:720-610-9747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-23
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0020382101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health