Healthcare Provider Details

I. General information

NPI: 1922657097
Provider Name (Legal Business Name): MADI SHAHEEN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2019
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 BIG SPRINGS DR FL 2
NEDERLAND CO
80466-5345
US

IV. Provider business mailing address

81 BIG SPRINGS DR
NEDERLAND CO
80466
US

V. Phone/Fax

Practice location:
  • Phone: 720-336-2357
  • Fax:
Mailing address:
  • Phone: 720-336-2357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0018972
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: