Provider Demographics
NPI:1114695525
Name:TIMMONS, JOSHUA E (MFT)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:E
Last Name:TIMMONS
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10495 S PROGRESS WAY UNIT 206
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-4032
Mailing Address - Country:US
Mailing Address - Phone:720-506-9285
Mailing Address - Fax:888-241-0588
Practice Address - Street 1:1230 TENDERFOOT HILL RD STE 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-7346
Practice Address - Country:US
Practice Address - Phone:720-506-9285
Practice Address - Fax:888-241-0588
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFTC0014226106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist