Provider Demographics
NPI:1851555049
Name:COLTEN, ELIZABETH ANN (LMFT, CAC III)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ANN
Last Name:COLTEN
Suffix:
Gender:F
Credentials:LMFT, CAC III
Other - Prefix:MS
Other - First Name:LIZ
Other - Middle Name:
Other - Last Name:COLTEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT, CACIII
Mailing Address - Street 1:525 N NEVADA AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-4936
Mailing Address - Country:US
Mailing Address - Phone:719-648-3475
Mailing Address - Fax:719-635-5029
Practice Address - Street 1:525 N NEVADA AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-4936
Practice Address - Country:US
Practice Address - Phone:719-648-3475
Practice Address - Fax:719-635-5029
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-16
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6511101YA0400X
CO966106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)