Healthcare Provider Details

I. General information

NPI: 1225961246
Provider Name (Legal Business Name): EDNA MARIA CASILLAS HERRERA MA, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14901 E HAMPDEN AVE STE 100
AURORA CO
80014-5037
US

IV. Provider business mailing address

14901 E HAMPDEN AVE STE 100
AURORA CO
80014-5037
US

V. Phone/Fax

Practice location:
  • Phone: 720-260-4115
  • Fax:
Mailing address:
  • Phone: 720-260-4115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0024382
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: