Healthcare Provider Details

I. General information

NPI: 1558023069
Provider Name (Legal Business Name): CHLOE MINCHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2021
Last Update Date: 10/09/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1455 DIXON AVENUE
LAFAYETTE CO
80026-8879
US

IV. Provider business mailing address

679 W MAIN STREET SUITE 300
LITTLETON CO
80120
US

V. Phone/Fax

Practice location:
  • Phone: 303-443-8500
  • Fax:
Mailing address:
  • Phone: 518-487-1063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC.0024444
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: