Provider Demographics
NPI:1619177268
Name:POWERS, BEVERLY A (MA)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:A
Last Name:POWERS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5690 DTC BLVD
Mailing Address - Street 2:SUITE 120W
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3232
Mailing Address - Country:US
Mailing Address - Phone:720-771-9550
Mailing Address - Fax:303-713-1011
Practice Address - Street 1:5690 DTC BLVD
Practice Address - Street 2:SUITE 120W
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-3232
Practice Address - Country:US
Practice Address - Phone:720-771-9550
Practice Address - Fax:303-713-1011
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health