Provider Demographics
NPI:1184954810
Name:HORWITZ, SUSANNAH M (LPC, LMHC)
Entity type:Individual
Prefix:MS
First Name:SUSANNAH
Middle Name:M
Last Name:HORWITZ
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 WASHINGTON AVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-1162
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1111 WASHINGTON AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-1162
Practice Address - Country:US
Practice Address - Phone:720-600-4943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-31
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7002101YM0800X
CO0012140101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health