Healthcare Provider Details

I. General information

NPI: 1619177268
Provider Name (Legal Business Name): BEVERLY A POWERS M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2007
Last Update Date: 07/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5690 DTC BLVD SUITE 120W
GREENWOOD VILLAGE CO
80111-3232
US

IV. Provider business mailing address

5690 DTC BLVD SUITE 120W
GREENWOOD VILLAGE CO
80111-3232
US

V. Phone/Fax

Practice location:
  • Phone: 720-771-9550
  • Fax: 303-713-1011
Mailing address:
  • Phone: 720-771-9550
  • Fax: 303-713-1011

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: