Healthcare Provider Details

I. General information

NPI: 1255402335
Provider Name (Legal Business Name): PATRICIA WYLIE OHARA LMFT, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 WADSWORTH BLVD SUITE 202
LAKEWOOD CO
80214-4591
US

IV. Provider business mailing address

950 WADSWORTH BLVD SUITE 202
LAKEWOOD CO
80214-4591
US

V. Phone/Fax

Practice location:
  • Phone: 303-235-8946
  • Fax: 303-235-0834
Mailing address:
  • Phone: 303-235-8946
  • Fax: 303-235-0834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2645
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number554
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: