Provider Demographics
NPI:1780826701
Name:BUMGARNER-YOUNG, AMELIA (MS, LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:AMELIA
Middle Name:
Last Name:BUMGARNER-YOUNG
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 HUNTINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:DACONO
Mailing Address - State:CO
Mailing Address - Zip Code:80514-8545
Mailing Address - Country:US
Mailing Address - Phone:720-600-1539
Mailing Address - Fax:
Practice Address - Street 1:1111 HUNTINGTON AVE
Practice Address - Street 2:
Practice Address - City:DACONO
Practice Address - State:CO
Practice Address - Zip Code:80514-8545
Practice Address - Country:US
Practice Address - Phone:720-600-1539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-06
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2255101Y00000X
COLPC.0011602101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor