Provider Demographics
NPI:1417595232
Name:LINGLE, EMILY CHARISE (LPC)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:CHARISE
Last Name:LINGLE
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2204 18TH AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-9709
Mailing Address - Country:US
Mailing Address - Phone:719-679-3070
Mailing Address - Fax:
Practice Address - Street 1:2204 18TH AVE STE 103
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-9709
Practice Address - Country:US
Practice Address - Phone:719-679-3070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-11
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0019417101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COLPC.0019417OtherDORA