Provider Demographics
NPI:1487135273
Name:THOMPSON, HEATHER CHRISTENSEN (LPC)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:CHRISTENSEN
Last Name:THOMPSON
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 1:5855 LEHMAN DR STE 201
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-3423
Mailing Address - Country:US
Mailing Address - Phone:719-424-5437
Mailing Address - Fax:
Practice Address - Street 1:5855 LEHMAN DR STE 201
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-3423
Practice Address - Country:US
Practice Address - Phone:719-424-5437
Practice Address - Fax:719-434-9517
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-28
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0013929101YP2500X
COLPC13929101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor