Healthcare Provider Details

I. General information

NPI: 1114131125
Provider Name (Legal Business Name): VIVIAN ANN DAVIS MSW, LCSW CACII
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 02/21/2026
Certification Date: 02/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2770 ARAPAHOE RD STE 132
LAFAYETTE CO
80026-8016
US

IV. Provider business mailing address

2770 ARAPAHOE RD STE 132
LAFAYETTE CO
80026-8016
US

V. Phone/Fax

Practice location:
  • Phone: 720-352-6799
  • Fax: 720-489-3768
Mailing address:
  • Phone: 720-352-6799
  • Fax: 720-362-5213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACB0006428
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number939
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: