Healthcare Provider Details

I. General information

NPI: 1639914922
Provider Name (Legal Business Name): GILLIAN KEINER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2024
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 MAIN ST
FRISCO CO
80443-5929
US

IV. Provider business mailing address

7596 W JEWELL AVE
LAKEWOOD CO
80232-6889
US

V. Phone/Fax

Practice location:
  • Phone: 970-486-3221
  • Fax:
Mailing address:
  • Phone: 970-486-3221
  • Fax: 844-412-7875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0023968
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: