Healthcare Provider Details

I. General information

NPI: 1467538165
Provider Name (Legal Business Name): CHRISTINE LEA PERLMUTTER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINE LEA SECHLER-PERLMUTTER

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 01/26/2022
Certification Date: 01/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6059 S QUEBEC ST STE 203
CENTENNIAL CO
80111-4523
US

IV. Provider business mailing address

10660 E BETHANY DR STE 29
AURORA CO
80014-2602
US

V. Phone/Fax

Practice location:
  • Phone: 303-217-1421
  • Fax:
Mailing address:
  • Phone: 610-322-7829
  • Fax: 720-645-2859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number991702
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number991702
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: