Healthcare Provider Details

I. General information

NPI: 1699545723
Provider Name (Legal Business Name): KATE DALEY NUTRITION & COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2024
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

870 S COLORADO BLVD STE D1062
GLENDALE CO
80246-2080
US

IV. Provider business mailing address

870 S COLORADO BLVD STE D1062
GLENDALE CO
80246-2080
US

V. Phone/Fax

Practice location:
  • Phone: 860-876-0637
  • Fax:
Mailing address:
  • Phone: 860-876-0637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MISS KATHERINE DALEY
Title or Position: OWNER
Credential: LPC, RDN, CEDS
Phone: 860-876-0637