Healthcare Provider Details

I. General information

NPI: 1477156867
Provider Name (Legal Business Name): EVOKE BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2020
Last Update Date: 11/18/2020
Certification Date: 11/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 E EVANS AVE
DENVER CO
80222-5023
US

IV. Provider business mailing address

4400 E EVANS AVE
DENVER CO
80222-5023
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

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