MEDICARE: MRS. MARIA ELENA DARBY L.P.C.

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	101YP2500X	Professional Counselor	2543	CO

General Provider Information

NPI Number	:	1861568818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIA ELENA DARBY L.P.C.

Provider Business Mailing Address
First Line	:	9085 E MINERAL CIR
Second Line	:	SUITE 170
City	:	CENTENNIAL
State	:	CO
Zip	:	80112-3462
Country	:	US
Telephone Number	:	720-635-9485
Fax Number	:	720-283-4211

Provider Business Practice Location Address
First Line	:	9085 E MINERAL CIR
Second Line	:	SUITE 170
City	:	CENTENNIAL
State	:	CO
Zip	:	80112-3462
Country	:	US
Telephone Number	:	720-635-9485
Fax Number	:	720-283-4211

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

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	07/08/2007

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