Healthcare Provider Details

I. General information

NPI: 1881219665
Provider Name (Legal Business Name): CAMRYN ONEILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2020
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6444 S QUEBEC ST STE 314
CENTENNIAL CO
80111-7601
US

IV. Provider business mailing address

6444 S QUEBEC ST STE 314
CENTENNIAL CO
80111-7601
US

V. Phone/Fax

Practice location:
  • Phone: 720-295-7116
  • Fax:
Mailing address:
  • Phone: 720-295-7116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFTC.0014674
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: