Healthcare Provider Details

I. General information

NPI: 1053249441
Provider Name (Legal Business Name): KATIE LI LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1630 S ACOMA ST
DENVER CO
80223-3602
US

IV. Provider business mailing address

1630 S ACOMA ST
DENVER CO
80223-3602
US

V. Phone/Fax

Practice location:
  • Phone: 303-974-2959
  • Fax:
Mailing address:
  • Phone: 303-974-2959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0014204
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: