Healthcare Provider Details

I. General information

NPI: 1306782354
Provider Name (Legal Business Name): DIANE CHAVEZ-HARRIS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7013 S BUFFALO ST
LITTLETON CO
80120-3829
US

IV. Provider business mailing address

7013 S BUFFALO ST
LITTLETON CO
80120-3829
US

V. Phone/Fax

Practice location:
  • Phone: 720-839-9075
  • Fax:
Mailing address:
  • Phone: 720-839-9075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC0012871
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: