Provider Demographics
NPI:1427104447
Name:HEIMBICHNER, BETH IRENE (LPC)
Entity type:Individual
Prefix:MS
First Name:BETH
Middle Name:IRENE
Last Name:HEIMBICHNER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:BETTY
Other - Middle Name:IRENE
Other - Last Name:HEIMBICHNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4851 INDEPENDENCE ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6715
Mailing Address - Country:US
Mailing Address - Phone:303-432-5700
Mailing Address - Fax:
Practice Address - Street 1:1675 CARR ST
Practice Address - Street 2:SUITE 215N
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214-5939
Practice Address - Country:US
Practice Address - Phone:303-425-0300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional