Healthcare Provider Details

I. General information

NPI: 1235054933
Provider Name (Legal Business Name): LIDIA PALMESE MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 E 58TH AVE STE 210
DENVER CO
80216-1400
US

IV. Provider business mailing address

1409 KNOX CT UNIT 1
DENVER CO
80204-1647
US

V. Phone/Fax

Practice location:
  • Phone: 720-928-1440
  • Fax:
Mailing address:
  • Phone: 609-444-9044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: