Provider Demographics
NPI:1245503051
Name:EMS, COLLEEN MARIE (LPC, NCC)
Entity type:Individual
Prefix:
First Name:COLLEEN
Middle Name:MARIE
Last Name:EMS
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:MRS
Other - First Name:COLLEEN
Other - Middle Name:MARIE EMS
Other - Last Name:GREENFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, NCC
Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81602-0040
Mailing Address - Country:US
Mailing Address - Phone:970-945-2241
Mailing Address - Fax:970-945-5523
Practice Address - Street 1:796 MEGAN
Practice Address - Street 2:STE 300
Practice Address - City:RIFLE
Practice Address - State:CO
Practice Address - Zip Code:81650-4703
Practice Address - Country:US
Practice Address - Phone:970-625-3582
Practice Address - Fax:970-625-9707
Is Sole Proprietor?:No
Enumeration Date:2012-02-10
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4739101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional