Provider Demographics
NPI:1699063800
Name:DAVOREN TRAINING & COUNSELING LLC
Entity type:Organization
Organization Name:DAVOREN TRAINING & COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:DAVOREN
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC
Authorized Official - Phone:720-422-3837
Mailing Address - Street 1:4582 EVERETT CT
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-3144
Mailing Address - Country:US
Mailing Address - Phone:720-422-3837
Mailing Address - Fax:720-536-8269
Practice Address - Street 1:4582 EVERETT CT
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-3144
Practice Address - Country:US
Practice Address - Phone:720-422-3837
Practice Address - Fax:720-536-8269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-21
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3227253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care