Provider Demographics
NPI:1679218879
Name:MUIR, BRIAN DAVID (MDIV)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:DAVID
Last Name:MUIR
Suffix:
Gender:M
Credentials:MDIV
Other - Prefix:
Other - First Name:BRIAN
Other - Middle Name:DAVID
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5358 S LOUTHAN ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-1255
Mailing Address - Country:US
Mailing Address - Phone:720-595-0041
Mailing Address - Fax:
Practice Address - Street 1:5358 S LOUTHAN ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-1255
Practice Address - Country:US
Practice Address - Phone:720-595-0041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health