Healthcare Provider Details

I. General information

NPI: 1740094051
Provider Name (Legal Business Name): COLLEEN ELIZABETH OHLMAN LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 S HACIENDA BLVD STE 103C
HACIENDA HEIGHTS CA
91745-4642
US

IV. Provider business mailing address

2211 S HACIENDA BLVD STE 103C
HACIENDA HEIGHTS CA
91745-4642
US

V. Phone/Fax

Practice location:
  • Phone: 818-813-1220
  • Fax:
Mailing address:
  • Phone: 818-813-1220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC18278
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: