Provider Demographics
NPI:1598473407
Name:RUHL, KELLI LYNN (MA, LPC, NCC)
Entity type:Individual
Prefix:
First Name:KELLI
Middle Name:LYNN
Last Name:RUHL
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 S MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-9789
Mailing Address - Country:US
Mailing Address - Phone:970-275-4098
Mailing Address - Fax:
Practice Address - Street 1:1780 S BELLAIRE ST STE 485
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4326
Practice Address - Country:US
Practice Address - Phone:720-767-9808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-09
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0021379101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional