Healthcare Provider Details

I. General information

NPI: 1699509463
Provider Name (Legal Business Name): LEAH CN OLIVER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2024
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 S TAMARAC DR
DENVER CO
80231-4360
US

IV. Provider business mailing address

3201 S TAMARAC DR
DENVER CO
80231-4360
US

V. Phone/Fax

Practice location:
  • Phone: 303-597-5000
  • Fax:
Mailing address:
  • Phone: 303-597-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWC.0000001720
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: