Healthcare Provider Details

I. General information

NPI: 1659215168
Provider Name (Legal Business Name): LIAM L BUNYAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

841 W 70TH PL
DENVER CO
80221-3009
US

IV. Provider business mailing address

841 W 70TH PL
DENVER CO
80221-3009
US

V. Phone/Fax

Practice location:
  • Phone: 720-461-7440
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0023667
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: