Healthcare Provider Details

I. General information

NPI: 1245028281
Provider Name (Legal Business Name): EVAN ROBERTS WEBB
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 INVERNESS DR S
ENGLEWOOD CO
80112-6565
US

IV. Provider business mailing address

7210 S ALGONQUIAN ST UNIT 301
AURORA CO
80016-7341
US

V. Phone/Fax

Practice location:
  • Phone: 303-954-9809
  • Fax:
Mailing address:
  • Phone: 720-470-8222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: