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NPI Code Detail

MEDICARE: OLIVIA GRACE ZIMMERMAN

MEDICARE: OLIVIA GRACE ZIMMERMAN
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1649123696
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA GRACE ZIMMERMAN
Provider Business Mailing Address
First Line : 12055 W 2ND PL
Second Line :
City : LAKEWOOD
State : CO
Zip : 80228-1506
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12055 W 2ND PL
Second Line :
City : LAKEWOOD
State : CO
Zip : 80228-1506
Country : US
Telephone Number : 303-425-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2026
Last Update Date : 02/18/2026

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Directions to “ OLIVIA GRACE ZIMMERMAN ” Practice Location

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