Healthcare Provider Details

I. General information

NPI: 1891457305
Provider Name (Legal Business Name): VANESSA MARIE PADILLA MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2021
Last Update Date: 05/17/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4340 E KENTUCKY AVE STE 335
GLENDALE CO
80246-2073
US

IV. Provider business mailing address

4340 E KENTUCKY AVE STE 335
GLENDALE CO
80246-2073
US

V. Phone/Fax

Practice location:
  • Phone: 720-277-9737
  • Fax:
Mailing address:
  • Phone: 720-277-9737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0022411
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: