Provider Demographics
NPI:1184519555
Name:COFFEY, SARAH JANE (LPCC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:COFFEY
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 1:311 TERRY ST
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-5439
Mailing Address - Country:US
Mailing Address - Phone:970-310-5311
Mailing Address - Fax:
Practice Address - Street 1:3825 IRIS AVE STE 150
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-2003
Practice Address - Country:US
Practice Address - Phone:720-378-8347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0021759101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health