Provider Demographics
NPI:1285983924
Name:HARWOOD, ELIZABETH JAIMI (LPC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:JAIMI
Last Name:HARWOOD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5461 WILLOW WOOD DR
Mailing Address - Street 2:MORRISON
Mailing Address - City:MORRISON
Mailing Address - State:CO
Mailing Address - Zip Code:80465-2121
Mailing Address - Country:US
Mailing Address - Phone:303-808-3012
Mailing Address - Fax:
Practice Address - Street 1:2150 W 29TH AVE
Practice Address - Street 2:SUITE 330
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-3844
Practice Address - Country:US
Practice Address - Phone:303-808-3012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-07
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60159922101YM0800X
CO6526101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health