MEDICARE: MRS. DANYELE DAJANA WOLFE LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	0021584	CO

General Provider Information

NPI Number	:	1043009616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANYELE DAJANA WOLFE LPC

Provider Business Mailing Address
First Line	:	6825 STOCKWELL DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80922-2308
Country	:	US
Telephone Number	:	720-496-6180
Fax Number	:

Provider Business Practice Location Address
First Line	:	4291 AUSTIN BLUFFS PKWY STE 201
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-2901
Country	:	US
Telephone Number	:	719-425-8215
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2025
Last Update Date	:	05/01/2025

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