Provider Demographics
NPI:1083080071
Name:DEBRA CONTILLO-DAVIS, LCSW
Entity Type:Organization
Organization Name:DEBRA CONTILLO-DAVIS, LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:JEANNE
Authorized Official - Last Name:CONTILLO-DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:303-906-6475
Mailing Address - Street 1:609 W LITTLETON BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-2368
Mailing Address - Country:US
Mailing Address - Phone:303-906-6475
Mailing Address - Fax:303-223-3299
Practice Address - Street 1:609 W LITTLETON BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-2368
Practice Address - Country:US
Practice Address - Phone:303-906-6475
Practice Address - Fax:303-223-3299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty