Healthcare Provider Details

I. General information

NPI: 1952213282
Provider Name (Legal Business Name): DAVID LEONARD FARR MA, JD, MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7089 ORCHARD ST
ARVADA CO
80007-6910
US

IV. Provider business mailing address

7089 ORCHARD ST
ARVADA CO
80007-6910
US

V. Phone/Fax

Practice location:
  • Phone: 773-426-9300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC0024817
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: