Healthcare Provider Details

I. General information

NPI: 1235682220
Provider Name (Legal Business Name): EVANS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2016
Last Update Date: 06/27/2024
Certification Date: 06/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2460 W 26TH AVE STE 165C
DENVER CO
80211-5307
US

IV. Provider business mailing address

2460 W 26TH AVE STE 30C
DENVER CO
80211-5340
US

V. Phone/Fax

Practice location:
  • Phone: 720-306-1383
  • Fax: 719-309-0911
Mailing address:
  • Phone: 720-306-1383
  • Fax: 719-309-0911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number12139
License Number StateCO

VIII. Authorized Official

Name: MARSHA EVANS
Title or Position: OWNER
Credential:
Phone: 303-264-9448