Healthcare Provider Details

I. General information

NPI: 1316698558
Provider Name (Legal Business Name): ERICA HARVIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2022
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1777 S HARRISON ST STE 301
DENVER CO
80210-3928
US

IV. Provider business mailing address

1777 S HARRISON ST STE 301
DENVER CO
80210-3928
US

V. Phone/Fax

Practice location:
  • Phone: 970-587-3846
  • Fax:
Mailing address:
  • Phone: 970-587-3846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFTC.0014777
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: