Healthcare Provider Details

I. General information

NPI: 1174260681
Provider Name (Legal Business Name): LORI YACONE RN, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2022
Last Update Date: 05/16/2022
Certification Date: 05/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 S ONEIDA ST STE 600
DENVER CO
80224-2555
US

IV. Provider business mailing address

2121 S ONEIDA ST STE 600
DENVER CO
80224-2555
US

V. Phone/Fax

Practice location:
  • Phone: 720-863-6112
  • Fax:
Mailing address:
  • Phone: 720-863-6112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number84995
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number16369
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: