Healthcare Provider Details

I. General information

NPI: 1093647018
Provider Name (Legal Business Name): LAVENDER HEART COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 GARDEN CTR STE 156
BROOMFIELD CO
80020-1790
US

IV. Provider business mailing address

80 GARDEN CTR STE 156
BROOMFIELD CO
80020-1790
US

V. Phone/Fax

Practice location:
  • Phone: 720-370-9752
  • Fax:
Mailing address:
  • Phone: 720-370-9752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LUCILLE RACHEL GOLDMAN HELLER
Title or Position: OWNER/THERAPIST
Credential: LPCC
Phone: 720-370-9752