Provider Demographics
NPI:1689017568
Name:CHRISTIE BARYAMES, MA, LPC
Entity Type:Organization
Organization Name:CHRISTIE BARYAMES, MA, LPC
Other - Org Name:CHRISTIE BARYAMES, MA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PLAY THERAPIST/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARYAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-817-4330
Mailing Address - Street 1:500 COFFMAN ST
Mailing Address - Street 2:SUITE 115
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-5451
Mailing Address - Country:US
Mailing Address - Phone:303-817-4330
Mailing Address - Fax:
Practice Address - Street 1:500 COFFMAN ST
Practice Address - Street 2:SUITE 115
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-5451
Practice Address - Country:US
Practice Address - Phone:303-817-4330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5685305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service