Healthcare Provider Details

I. General information

NPI: 1326378548
Provider Name (Legal Business Name): CORINA LIDIA MIHAILESCU LPC,PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2010
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 THORNTON PKWY UNIT 234
THORNTON CO
80229-2167
US

IV. Provider business mailing address

550 THORNTON PKWY UNIT 234
THORNTON CO
80229-2167
US

V. Phone/Fax

Practice location:
  • Phone: 140-120-1333
  • Fax:
Mailing address:
  • Phone: 140-120-1333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberLPC.0017210
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: