MEDICARE: EVERWELL MENTAL HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant
2	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1538037510
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVERWELL MENTAL HEALTH

Provider Business Mailing Address
First Line	:	PO BOX 9453
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80209-0453
Country	:	US
Telephone Number	:	720-782-8559
Fax Number	:	720-669-9095

Provider Business Practice Location Address
First Line	:	4337 TENNYSON ST UNIT 104
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80212-2480
Country	:	US
Telephone Number	:	303-912-0245
Fax Number	:	303-912-0245

Authorized Official
Title or Position	:	OWNER AND CEO
Name	:	AMANDA LEWIS
Credential	:
Telephone Number	:	720-782-8559

Provider Enumeration Date	:	10/29/2025
Last Update Date	:	03/06/2026

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Directions to “EVERWELL MENTAL HEALTH ” Practice Location

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