Provider Demographics
NPI:1972045011
Name:REYNOLDS, MARGARET (LPC, LAC, CEAP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:REYNOLDS
Suffix:
Gender:F
Credentials:LPC, LAC, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 147008
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80214-7008
Mailing Address - Country:US
Mailing Address - Phone:303-656-9158
Mailing Address - Fax:
Practice Address - Street 1:2727 BRYANT ST STE 510
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211
Practice Address - Country:US
Practice Address - Phone:303-656-9158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-07
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO747101YA0400X
CO13148101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)