=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053230524
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ERIN COFFMAN LPC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/10/2026
-----------------------------------------------------
Last Update Date | 07/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4689 W 20TH ST STE E-8
-----------------------------------------------------
City | GREELEY
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80634-3218
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-616-0325
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 773 BLUESTEM CT
-----------------------------------------------------
City | BLUE GRASS
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 52726-1202
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 563-340-3967
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ERIN COFFMAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 563-340-3967
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------