Healthcare Provider Details

I. General information

NPI: 1538037510
Provider Name (Legal Business Name): EVERWELL MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4337 TENNYSON ST UNIT 104
DENVER CO
80212-2480
US

IV. Provider business mailing address

PO BOX 9453
DENVER CO
80209-0453
US

V. Phone/Fax

Practice location:
  • Phone: 303-912-0245
  • Fax: 303-912-0245
Mailing address:
  • Phone: 720-782-8559
  • Fax: 720-669-9095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: AMANDA LEWIS
Title or Position: OWNER AND CEO
Credential:
Phone: 720-782-8559