Provider Demographics
NPI:1033805908
Name:TRAINING INSTITUTE AT FORGE - NORTH
Entity Type:Organization
Organization Name:TRAINING INSTITUTE AT FORGE - NORTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LPC
Authorized Official - Phone:720-432-7690
Mailing Address - Street 1:13659 E 104TH AVE UNIT 800
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-9406
Mailing Address - Country:US
Mailing Address - Phone:720-432-7690
Mailing Address - Fax:719-212-1473
Practice Address - Street 1:640 E EISENHOWER BLVD STE 200
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-3971
Practice Address - Country:US
Practice Address - Phone:720-520-7755
Practice Address - Fax:719-212-1473
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRAINING INSTITUTE AT FORGE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty