Healthcare Provider Details

I. General information

NPI: 1043734981
Provider Name (Legal Business Name): HEIDI CARR LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2017
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2785 N SPEER BLVD APT 126
DENVER CO
80211-4264
US

IV. Provider business mailing address

2785 N SPEER BLVD APT 126
DENVER CO
80211-4264
US

V. Phone/Fax

Practice location:
  • Phone: 484-306-3884
  • Fax:
Mailing address:
  • Phone: 484-306-3884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberMI-0000216
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC016086
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number14062948-6004
License Number StateUT
# 4
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0023795
License Number StateCO
# 5
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC14831
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: