Provider Demographics
NPI:1659417129
Name:STRONG, BETH (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:
Last Name:STRONG
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:D
Other - Last Name:STRONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:234 COLUMBINE ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-4726
Mailing Address - Country:US
Mailing Address - Phone:303-322-4224
Mailing Address - Fax:303-322-2626
Practice Address - Street 1:234 COLUMBINE ST
Practice Address - Street 2:SUITE 300
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-4726
Practice Address - Country:US
Practice Address - Phone:303-322-4224
Practice Address - Fax:303-322-2626
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2101101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional