Healthcare Provider Details

I. General information

NPI: 1467233684
Provider Name (Legal Business Name): KRISTIN ANN DAVIS MS, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2023
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 INVERNESS WAY S STE 225
ENGLEWOOD CO
80112-5841
US

IV. Provider business mailing address

304 INVERNESS WAY S STE 225
ENGLEWOOD CO
80112-5841
US

V. Phone/Fax

Practice location:
  • Phone: 970-310-3406
  • Fax:
Mailing address:
  • Phone: 970-310-3406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC.0021317
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: