Healthcare Provider Details

I. General information

NPI: 1366350290
Provider Name (Legal Business Name): ESTHER WILKISON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5931 MIDDLEFIELD RD STE 305
LITTLETON CO
80123-2862
US

IV. Provider business mailing address

5931 MIDDLEFIELD RD STE 103
LITTLETON CO
80123-2865
US

V. Phone/Fax

Practice location:
  • Phone: 720-673-5815
  • Fax:
Mailing address:
  • Phone: 864-404-9901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0025090
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: