Provider Demographics
NPI:1285260968
Name:YERGER, KELI (LMFT)
Entity type:Individual
Prefix:
First Name:KELI
Middle Name:
Last Name:YERGER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 MADISON AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-4062
Mailing Address - Country:US
Mailing Address - Phone:970-829-0289
Mailing Address - Fax:
Practice Address - Street 1:1717 MADISON AVE STE 4
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-4062
Practice Address - Country:US
Practice Address - Phone:970-829-0289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-13
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4151-R106H00000X
DCLMFT200001187106H00000X
NMCMF0223551106H00000X
FLTPMF333106H00000X
TX203114106H00000X
COMFT.0001774106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
000OtherNONE