Provider Demographics
NPI:1346495223
Name:EVERT, TINA (LMFT)
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:
Last Name:EVERT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:485 S LOGAN ST
Mailing Address - Street 2:UNIT 1
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-1833
Mailing Address - Country:US
Mailing Address - Phone:303-884-9642
Mailing Address - Fax:
Practice Address - Street 1:3600 S YOSEMITE ST
Practice Address - Street 2:SUITE 1050
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-1812
Practice Address - Country:US
Practice Address - Phone:303-884-9642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-19
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist