Provider Demographics
NPI:1942080411
Name:HUBBARD, MISTY ARIELLA (LPC)
Entity Type:Individual
Prefix:
First Name:MISTY
Middle Name:ARIELLA
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8441 EVERETT WAY UNIT E
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-2398
Mailing Address - Country:US
Mailing Address - Phone:720-381-4977
Mailing Address - Fax:
Practice Address - Street 1:4251 KIPLING ST UNIT 430
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-2970
Practice Address - Country:US
Practice Address - Phone:720-381-4977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0019759101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional