Provider Demographics
NPI:1275397069
Name:COREVITA COUNSELING
Entity Type:Organization
Organization Name:COREVITA COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVE
Authorized Official - Middle Name:
Authorized Official - Last Name:RABINOVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS ADDC EMDR LPC
Authorized Official - Phone:720-573-0954
Mailing Address - Street 1:463 S NIAGARA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-1325
Mailing Address - Country:US
Mailing Address - Phone:702-988-8837
Mailing Address - Fax:
Practice Address - Street 1:463 S NIAGARA ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-1325
Practice Address - Country:US
Practice Address - Phone:702-988-8837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty