Provider Demographics
NPI:1770985251
Name:DENES, TWILA
Entity type:Individual
Prefix:
First Name:TWILA
Middle Name:
Last Name:DENES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 E RAILROAD AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:FORT MORGAN
Mailing Address - State:CO
Mailing Address - Zip Code:80701-3101
Mailing Address - Country:US
Mailing Address - Phone:970-380-9382
Mailing Address - Fax:970-867-0524
Practice Address - Street 1:324 E RAILROAD AVE STE 400
Practice Address - Street 2:
Practice Address - City:FORT MORGAN
Practice Address - State:CO
Practice Address - Zip Code:80701-3101
Practice Address - Country:US
Practice Address - Phone:970-380-9382
Practice Address - Fax:970-867-0524
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-16
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health