Provider Demographics
NPI:1134351307
Name:GREENLEE, SHERYL L (LPC)
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:L
Last Name:GREENLEE
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 1:2212 W COLORADO AVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904-3325
Mailing Address - Country:US
Mailing Address - Phone:719-226-0659
Mailing Address - Fax:719-226-0753
Practice Address - Street 1:2212 W COLORADO AVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-3325
Practice Address - Country:US
Practice Address - Phone:719-226-0659
Practice Address - Fax:719-226-0753
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5339101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional