Provider Demographics
NPI:1629125554
Name:O'REILLY, ELAINE HUPPING (MS, LPC)
Entity Type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:HUPPING
Last Name:O'REILLY
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 PARK POINT DR
Mailing Address - Street 2:SUITE 160
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-5715
Mailing Address - Country:US
Mailing Address - Phone:303-430-9550
Mailing Address - Fax:303-430-9551
Practice Address - Street 1:603 PARK POINT DR
Practice Address - Street 2:SUITE 160
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-5715
Practice Address - Country:US
Practice Address - Phone:303-430-9550
Practice Address - Fax:303-430-9551
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO815101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist