Provider Demographics
NPI:1790997500
Name:TIMMONS, MICHAEL DANIEL (MA COUNSELING PSYC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:DANIEL
Last Name:TIMMONS
Suffix:
Gender:M
Credentials:MA COUNSELING PSYC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7656 QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-3483
Mailing Address - Country:US
Mailing Address - Phone:303-819-6221
Mailing Address - Fax:
Practice Address - Street 1:7656 QUEEN ST
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-3483
Practice Address - Country:US
Practice Address - Phone:303-819-6221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health