Provider Demographics
NPI:1386880136
Name:DEVINE, HEIDI (LPC)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:DEVINE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:
Other - Last Name:GLEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:421 ZANG ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1052
Mailing Address - Country:US
Mailing Address - Phone:303-989-4357
Mailing Address - Fax:303-988-2017
Practice Address - Street 1:75 CLAREMONT ST STE C
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3500
Practice Address - Country:US
Practice Address - Phone:406-758-5155
Practice Address - Fax:406-758-5166
Is Sole Proprietor?:No
Enumeration Date:2008-12-29
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC-5104101YP2500X
MTBBH-LCPC-LIC-8085101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional