Healthcare Provider Details

I. General information

NPI: 1770270712
Provider Name (Legal Business Name): DARA COURCHAINE HEALTH COACH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2023
Last Update Date: 04/19/2023
Certification Date: 04/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 E DRY CREEK RD STE G101
CENTENNIAL CO
80112-2574
US

IV. Provider business mailing address

7200 E DRY CREEK RD STE G101
CENTENNIAL CO
80112-2574
US

V. Phone/Fax

Practice location:
  • Phone: 720-647-7460
  • Fax: 720-684-5766
Mailing address:
  • Phone: 720-647-7460
  • Fax: 720-684-5766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: