Healthcare Provider Details

I. General information

NPI: 1073181798
Provider Name (Legal Business Name): EVOKE BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2021
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7750 HARLAN ST
ARVADA CO
80003-2417
US

IV. Provider business mailing address

7750 HARLAN ST
ARVADA CO
80003-2417
US

V. Phone/Fax

Practice location:
  • Phone: 720-355-1081
  • Fax: 866-817-1606
Mailing address:
  • Phone: 720-355-1081
  • Fax: 866-817-1606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EMILY WHITE
Title or Position: CEO & CO-FOUNDER
Credential: BCBA
Phone: 720-355-1066