Provider Demographics
NPI:1205654902
Name:BAUSMAN, BRIANNA ELYSSE (LPCC)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:ELYSSE
Last Name:BAUSMAN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6261 S CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-2633
Mailing Address - Country:US
Mailing Address - Phone:817-676-7259
Mailing Address - Fax:
Practice Address - Street 1:4100 W 38TH AVE STE B
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-1978
Practice Address - Country:US
Practice Address - Phone:720-675-8311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0020416101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional