Healthcare Provider Details

I. General information

NPI: 1386554665
Provider Name (Legal Business Name): SOPHIA IDA MCPHEE MA, LMT, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 E FLATIRON CROSSING DR APT 2220
BROOMFIELD CO
80021-8111
US

IV. Provider business mailing address

270 E FLATIRON CROSSING DR APT 2220
BROOMFIELD CO
80021-8111
US

V. Phone/Fax

Practice location:
  • Phone: 401-632-7258
  • Fax:
Mailing address:
  • Phone: 401-632-7258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0025356
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: