Provider Demographics
NPI:1265222632
Name:EATON, SKYLAR (PEER SUPPORT)
Entity type:Individual
Prefix:
First Name:SKYLAR
Middle Name:
Last Name:EATON
Suffix:
Gender:
Credentials:PEER SUPPORT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 ACOMA ST UNIT 401
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-4042
Mailing Address - Country:US
Mailing Address - Phone:310-988-8028
Mailing Address - Fax:
Practice Address - Street 1:2120 S GRAPE ST UNIT C
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-5210
Practice Address - Country:US
Practice Address - Phone:310-988-8028
Practice Address - Fax:303-256-0548
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist