Healthcare Provider Details
I. General information
NPI: 1558493809
Provider Name (Legal Business Name): PATRICIA ANN O'DONNELL ATR-BC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4770 E ILIFF AVE SUITE 218
DENVER CO
80222-6061
US
IV. Provider business mailing address
4770 E ILIFF AVE SUITE 218
DENVER CO
80222-6061
US
V. Phone/Fax
- Phone: 303-880-0210
- Fax: 303-757-7994
- Phone: 303-880-0210
- Fax: 303-757-7994
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 347 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 221700000X |
| Taxonomy | Art Therapist |
| License Number | 86-154 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: