Healthcare Provider Details
I. General information
NPI: 1902200637
Provider Name (Legal Business Name): MARSHA EVANS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/09/2014
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5150 W 120TH AVE UNIT 100 PMB 1016
WESTMINSTER CO
80020-3303
US
IV. Provider business mailing address
5150 W 120TH AVE UNIT 100 PMB 1016
WESTMINSTER CO
80020-3303
US
V. Phone/Fax
- Phone: 303-264-9448
- Fax:
- Phone: 303-264-9448
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 0012139 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: