Provider Demographics
NPI:1750840443
Name:GHENT, RICHARD (MA LPC)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:GHENT
Suffix:
Gender:M
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6856 PERRY PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:LARKSPUR
Mailing Address - State:CO
Mailing Address - Zip Code:80118-9709
Mailing Address - Country:US
Mailing Address - Phone:720-232-7333
Mailing Address - Fax:
Practice Address - Street 1:9364 TEDDY LN STE 204
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-2873
Practice Address - Country:US
Practice Address - Phone:720-232-7333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-13
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO788101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO788OtherLPC