Healthcare Provider Details

I. General information

NPI: 1043127194
Provider Name (Legal Business Name): OLIVIA LANGWELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 E 29TH ST
LOVELAND CO
80538-2742
US

IV. Provider business mailing address

9576 MERRYVALE CT
PARKER CO
80138-4590
US

V. Phone/Fax

Practice location:
  • Phone: 970-775-7061
  • 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: