Healthcare Provider Details

I. General information

NPI: 1821934662
Provider Name (Legal Business Name): TIMOTHY BRIAN MCCANN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 BRYANT ST STE 430
DENVER CO
80211-4153
US

IV. Provider business mailing address

2740 W 86TH AVE APT 190
WESTMINSTER CO
80031-3804
US

V. Phone/Fax

Practice location:
  • Phone: 720-526-2622
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0024349
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: