Healthcare Provider Details

I. General information

NPI: 1124743364
Provider Name (Legal Business Name): SHEILA MARIE CONNOLLY LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2022
Last Update Date: 10/04/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5743 TELLER ST APT 310
ARVADA CO
80002-2536
US

IV. Provider business mailing address

5743 TELLER ST APT 310
ARVADA CO
80002-2536
US

V. Phone/Fax

Practice location:
  • Phone: 561-234-8415
  • Fax:
Mailing address:
  • Phone: 561-234-8415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH21043
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number068.0136788
License Number StateVT
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0021279
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: