Healthcare Provider Details

I. General information

NPI: 1902270853
Provider Name (Legal Business Name): ERIN L COFFMAN M.A., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2015
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: 970-616-0325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0015376
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: