Provider Demographics
NPI:1841831393
Name:HARTING CHITTY, IVONNE ELISA (MS, LAC, LPCC, MFTC)
Entity type:Individual
Prefix:
First Name:IVONNE
Middle Name:ELISA
Last Name:HARTING CHITTY
Suffix:
Gender:F
Credentials:MS, LAC, LPCC, MFTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 E KIOWA AVE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:CO
Mailing Address - Zip Code:80107-7452
Mailing Address - Country:US
Mailing Address - Phone:786-773-6616
Mailing Address - Fax:
Practice Address - Street 1:187 E KIOWA AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:CO
Practice Address - Zip Code:80107-7452
Practice Address - Country:US
Practice Address - Phone:786-773-6616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-07
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 171M00000X
COLPC.0021558101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator