Provider Demographics
NPI:1568000800
Name:HENDRYX, AUBRIE ROSE (LPC)
Entity type:Individual
Prefix:
First Name:AUBRIE
Middle Name:ROSE
Last Name:HENDRYX
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:PO BOX 200574
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:CO
Mailing Address - Zip Code:80620-0574
Mailing Address - Country:US
Mailing Address - Phone:970-616-0703
Mailing Address - Fax:
Practice Address - Street 1:1770 25TH AVE STE 206
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-4949
Practice Address - Country:US
Practice Address - Phone:970-402-0948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-17
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO101YP2500X
COLPC.0016011101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional