Healthcare Provider Details

I. General information

NPI: 1740036334
Provider Name (Legal Business Name): JOSHUA CAGNEY PH.D.(C)
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2024
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6851 S GAYLORD ST APT 2526
CENTENNIAL CO
80122-1679
US

IV. Provider business mailing address

6851 S GAYLORD ST APT 2526
CENTENNIAL CO
80122-1679
US

V. Phone/Fax

Practice location:
  • Phone: 703-397-7680
  • Fax:
Mailing address:
  • Phone: 703-397-7680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: