Healthcare Provider Details

I. General information

NPI: 1558272054
Provider Name (Legal Business Name): TRACEY LYNETTE RUMSEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5613 S PRINCE ST
LITTLETON CO
80120-1127
US

IV. Provider business mailing address

5613 S PRINCE ST
LITTLETON CO
80120-1127
US

V. Phone/Fax

Practice location:
  • Phone: 303-900-3637
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberNLC.0109714
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: