Healthcare Provider Details

I. General information

NPI: 1790603272
Provider Name (Legal Business Name): CHAD DILWORTH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8690 WOLFF CT STE 200
WESTMINSTER CO
80031-3697
US

IV. Provider business mailing address

8690 WOLFF CT STE 200
WESTMINSTER CO
80031-3697
US

V. Phone/Fax

Practice location:
  • Phone: 720-295-3291
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC0024674
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: