Organization
EVOKE THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLI HENDERSON DMFT (OWNER)
(303) 921-2771
Entity
Organization
Contact information
Practice address
5500 E YALE AVE STE 202, DENVER, CO 80222-6930
(303) 921-2771
Mailing address
5500 E YALE AVE STE 202, DENVER, CO 80222-6930
(303) 921-2771
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000148192
—
CO
Enumeration date
09/16/2019
Last updated
09/16/2019
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