Healthcare Provider Details

I. General information

NPI: 1578487054
Provider Name (Legal Business Name): DANIEL EAKER MA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 W 122ND AVE STE 140
WESTMINSTER CO
80234-3440
US

IV. Provider business mailing address

1400 W 122ND AVE STE 140
WESTMINSTER CO
80234-3440
US

V. Phone/Fax

Practice location:
  • Phone: 720-458-0642
  • Fax:
Mailing address:
  • Phone: 720-458-0642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC.0023012
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: