MALIA A BODHAINE LPC
NPI 1043053903
Counselor - Professional in Denver, CO
Active since June 17, 2024
About Malia A Bodhaine Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALIA A BODHAINE LPC (NPI 1043053903) is an individual professional provider in Denver, Colorado, licensed in Colorado (LPC.0020686) and active in the NPI registry since June 2024.
NPPES Registry Identity
NPI1043053903
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMALIA A BODHAINECredential: LPC
Location Address245 S CLARKSON STDenver, CO 80209-2123
Mailing Address245 S Clarkson StDenver, CO 80209-2123
Phone(509) 421-4688
Sole ProprietorYes
Enumeration DateJune 17, 2024
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1043053903 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · LPC.0020686
245 S CLARKSON ST, Denver, CO 80209
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043053903, enumerated as an "individual" on June 17, 2024.
The provider is located at 245 S CLARKSON ST DENVER, CO 80209 and the phone number is (509) 421-4688.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
