Provider Demographics
NPI:1356604227
Name:TRUSCOTT, HEIDI (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:
Last Name:TRUSCOTT
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1536 S KLINE CT
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-6335
Mailing Address - Country:US
Mailing Address - Phone:303-870-1485
Mailing Address - Fax:303-763-9534
Practice Address - Street 1:720 KIPLING ST STE 17
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-5866
Practice Address - Country:US
Practice Address - Phone:303-870-1485
Practice Address - Fax:303-763-9534
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-16
Last Update Date:2012-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5986101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health