Provider Demographics
NPI:1821166257
Name:RICHARD, MINDY M (MA, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:MINDY
Middle Name:M
Last Name:RICHARD
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35654 E 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:WATKINS
Mailing Address - State:CO
Mailing Address - Zip Code:80137-8925
Mailing Address - Country:US
Mailing Address - Phone:303-422-0516
Mailing Address - Fax:303-364-2124
Practice Address - Street 1:13750 E RICE PL STE 201
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-1059
Practice Address - Country:US
Practice Address - Phone:303-422-0516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-02
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2336101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional