Healthcare Provider Details

I. General information

NPI: 1760174700
Provider Name (Legal Business Name): DARCIE O'CONNOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2023
Last Update Date: 05/25/2023
Certification Date: 05/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 W MISSISSIPPI AVE # 200
LAKEWOOD CO
80226-4550
US

IV. Provider business mailing address

2765 WESTGATE AVE
HIGHLANDS RANCH CO
80126-7517
US

V. Phone/Fax

Practice location:
  • Phone: 855-678-3144
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: