Provider Demographics
NPI:1871586669
Name:ELLIOTT, LYNN C (MA, LPC)
Entity type:Individual
Prefix:MS
First Name:LYNN
Middle Name:C
Last Name:ELLIOTT
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 1:8774 YATES DR.
Mailing Address - Street 2:SUITE 350
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031
Mailing Address - Country:US
Mailing Address - Phone:303-430-4416
Mailing Address - Fax:303-458-9396
Practice Address - Street 1:8774 YATES DR.
Practice Address - Street 2:SUITE 350
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031
Practice Address - Country:US
Practice Address - Phone:303-430-4416
Practice Address - Fax:303-458-9396
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO27101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health