Healthcare Provider Details

I. General information

NPI: 1033040084
Provider Name (Legal Business Name): HEATHER BURTON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1777 S HARRISON ST STE 301
DENVER CO
80210-3928
US

IV. Provider business mailing address

PO BOX 451
THAYNE WY
83127-0451
US

V. Phone/Fax

Practice location:
  • Phone: 970-587-3846
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC.0023625
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: