Healthcare Provider Details

I. General information

NPI: 1417737388
Provider Name (Legal Business Name): OLAKINO COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2023
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10684 CALISTA WAY
FOUNTAIN CO
80817-7266
US

IV. Provider business mailing address

10684 CALISTA WAY
FOUNTAIN CO
80817-7266
US

V. Phone/Fax

Practice location:
  • Phone: 808-646-3805
  • Fax: 808-481-4850
Mailing address:
  • Phone: 405-812-9159
  • Fax: 808-481-4850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. NICOLE DIANE SHIFFLETT
Title or Position: OWNER
Credential: LCSW
Phone: 405-812-9159