Marcie L Mata, Lpc, Llc

LBN: Marcie L Mata, Lpc, Llc
Marcie L Mata, Lpc, Llc is an health care organization with primary practice located at 109 Coronado Ct Bldg 7 , Fort Collins CO 80525-4929. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Marcie L Mata, Lpc, Llc can be contacted via phone (970) 308-4474, or through Mata, Marcie Lynn via phone (970) 308-4474.

Contact Information

Primary practice address
109 Coronado Ct Bldg 7 Fort Collins CO 80525-4929
Phone: (970) 308-4474
Fax: (970) 377-6767
Website:
Map and Directions
Authorized official contact:
Name: Mata, Marcie Lynn
Phone: (970) 308-4474

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4971 Colorado

Profile Details

NPI number 1952752131
LBN Legal business name Marcie L Mata, Lpc, Llc
DBA Doing business as
Authorized official Mata, Marcie Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2016
Last updated Jun 28th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952752131 NPPES
Colorado MEDICAID 24785229

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