Healthcare Provider Details

I. General information

NPI: 1053230524
Provider Name (Legal Business Name): ERIN COFFMAN LPC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4689 W 20TH ST STE E-8
GREELEY CO
80634-3218
US

IV. Provider business mailing address

773 BLUESTEM CT
BLUE GRASS IA
52726-1202
US

V. Phone/Fax

Practice location:
  • Phone: 970-616-0325
  • Fax:
Mailing address:
  • Phone: 563-340-3967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ERIN COFFMAN
Title or Position: OWNER
Credential:
Phone: 563-340-3967