Healthcare Provider Details

I. General information

NPI: 1093476335
Provider Name (Legal Business Name): LATONYA MONIQUE DULANEY-HARRIS LMFT, LAC, FULL SOMB
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2022
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7430 E CALEY AVE STE 125
CENTENNIAL CO
80111-6913
US

IV. Provider business mailing address

4671 S MONACO ST APT 102
DENVER CO
80237-3560
US

V. Phone/Fax

Practice location:
  • Phone: 720-275-1407
  • Fax:
Mailing address:
  • Phone: 720-275-1407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT.0001467
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number.0001467
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: