Healthcare Provider Details

I. General information

NPI: 1811584915
Provider Name (Legal Business Name): SYLVAN O'BRIEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/23/2020
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10466 MARIGOLD CT
HIGHLANDS RANCH CO
80126-5623
US

IV. Provider business mailing address

10466 MARIGOLD CT
HIGHLANDS RANCH CO
80126-5623
US

V. Phone/Fax

Practice location:
  • Phone: 619-890-8569
  • Fax:
Mailing address:
  • Phone: 619-890-8569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number163836
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: