Healthcare Provider Details

I. General information

NPI: 1952822785
Provider Name (Legal Business Name): CHELSEA YURKOVICH LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2017
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2280 HIGHLAND VILLAGE RD STE 150
HIGHLAND VILLAGE TX
75077-7184
US

IV. Provider business mailing address

706 S COLLEGE AVE STE 204
FORT COLLINS CO
80524-9860
US

V. Phone/Fax

Practice location:
  • Phone: 972-914-3832
  • Fax:
Mailing address:
  • Phone: 970-550-9919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0022574
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number71778
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: