Healthcare Provider Details

I. General information

NPI: 1255821831
Provider Name (Legal Business Name): AMANDA HARMS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2018
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17659 WATER FLUME WAY
MONUMENT CO
80132-7443
US

IV. Provider business mailing address

17659 WATER FLUME WAY
MONUMENT CO
80132-7443
US

V. Phone/Fax

Practice location:
  • Phone: 720-260-4537
  • Fax:
Mailing address:
  • Phone: 720-260-4537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLAC-16775
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPCC.0015779
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0021909
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: