Healthcare Provider Details

I. General information

NPI: 1962339168
Provider Name (Legal Business Name): NORMA O'KELLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NORA O'KELLEY

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 REMINGTON ST STE 100
FORT COLLINS CO
80524-2987
US

IV. Provider business mailing address

1437 CLEMENTINE CT
FORT COLLINS CO
80526-4210
US

V. Phone/Fax

Practice location:
  • Phone: 970-484-4469
  • Fax:
Mailing address:
  • Phone: 970-689-6643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: