Provider Demographics
NPI:1174176002
Name:REDFIELD, CARTER (LPC)
Entity type:Individual
Prefix:
First Name:CARTER
Middle Name:
Last Name:REDFIELD
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 1:1090 S WADSWORTH BLVD UNIT CPMB5013
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-4328
Mailing Address - Country:US
Mailing Address - Phone:720-656-2046
Mailing Address - Fax:
Practice Address - Street 1:1090 S WADSWORTH BLVD
Practice Address - Street 2:UNIT C PMB 5013
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226
Practice Address - Country:US
Practice Address - Phone:720-656-2046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-19
Last Update Date:2024-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0021492101YM0800X
CO0020027101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health