# ATHENA M MCCULLOUGH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MCCULLOUGH FAMILY THERAPY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710700638
- **Authorized official:** ATHENA MCCULLOUGH MA, LPC, LMFT (OWNER, CLINIC DIRECTOR)
- **Authorized official phone:** (303) 551-9214

## Contact information

- **Practice address:** 3900 S WADSWORTH BLVD STE 435, LAKEWOOD, CO 80235-2207
- **Practice address phone:** (303) 551-9214
- **Mailing address:** 3900 S WADSWORTH BLVD STE 435, LAKEWOOD, CO 80235-2207
- **Mailing address phone:** (303) 551-9214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2024
- **Last updated:** 04/26/2026