Healthcare Provider Details

I. General information

NPI: 1033805908
Provider Name (Legal Business Name): FORGE COUNSELING COLLECTIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2023
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13659 E 104TH AVE UNIT 800
COMMERCE CITY CO
80022-9406
US

IV. Provider business mailing address

13659 E 104TH AVE UNIT 800
COMMERCE CITY CO
80022-9406
US

V. Phone/Fax

Practice location:
  • Phone: 720-432-7690
  • Fax:
Mailing address:
  • Phone: 720-432-7690
  • Fax: 719-212-1473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. HANNAH DAVIS
Title or Position: DIRECTOR
Credential: PHD LPC
Phone: 720-432-7690