Provider Demographics
NPI:1487195400
Name:CLAUDIA TREVITHICK
Entity Type:Organization
Organization Name:CLAUDIA TREVITHICK
Other - Org Name:CLAUDIA TREVITHICK-CREATIVE THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TREVITHICK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:720-242-9241
Mailing Address - Street 1:6840 E MISSISSIPPI AVE
Mailing Address - Street 2:UNIT A
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-1855
Mailing Address - Country:US
Mailing Address - Phone:720-242-9241
Mailing Address - Fax:
Practice Address - Street 1:6840 E MISSISSIPPI AVE
Practice Address - Street 2:UNIT A
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-1855
Practice Address - Country:US
Practice Address - Phone:720-242-9241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-09
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty