Provider Demographics
NPI:1184874356
Name:LENZINI, TERRIE ANNE (LPC)
Entity type:Individual
Prefix:
First Name:TERRIE
Middle Name:ANNE
Last Name:LENZINI
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:PO BOX 4767
Mailing Address - Street 2:
Mailing Address - City:BUENA VISTA
Mailing Address - State:CO
Mailing Address - Zip Code:81211-4767
Mailing Address - Country:US
Mailing Address - Phone:719-395-4673
Mailing Address - Fax:719-935-6744
Practice Address - Street 1:28350 COUNTY ROAD 317
Practice Address - Street 2:SUITE #11
Practice Address - City:BUENA VISTA
Practice Address - State:CO
Practice Address - Zip Code:81211-9228
Practice Address - Country:US
Practice Address - Phone:719-395-4673
Practice Address - Fax:719-395-6744
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5057101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health