Provider Demographics
NPI:1922841618
Name:OYEWOLE, KELLI (MA, LPCC)
Entity type:Individual
Prefix:
First Name:KELLI
Middle Name:
Last Name:OYEWOLE
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7853 E ARAPAHOE CT STE 3000
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1377
Mailing Address - Country:US
Mailing Address - Phone:720-878-9896
Mailing Address - Fax:
Practice Address - Street 1:7853 E ARAPAHOE CT STE 3000
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1377
Practice Address - Country:US
Practice Address - Phone:720-878-9896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO22153101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health