Healthcare Provider Details

I. General information

NPI: 1679609259
Provider Name (Legal Business Name): AMANDA MERCEDES DANIEL MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

924 W COLFAX AVE STE 104H
DENVER CO
80204-2649
US

IV. Provider business mailing address

924 W COLFAX AVE STE 104H
DENVER CO
80204-2649
US

V. Phone/Fax

Practice location:
  • Phone: 303-578-2185
  • Fax:
Mailing address:
  • Phone: 303-578-2185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4543
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: