Provider Demographics
NPI:1801299003
Name:WINANS, DEBORAH (CHAPLAINBA CACIII)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:WINANS
Suffix:
Gender:F
Credentials:CHAPLAINBA CACIII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14221 E 4TH AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-8727
Mailing Address - Country:US
Mailing Address - Phone:720-207-5041
Mailing Address - Fax:720-222-0739
Practice Address - Street 1:14221 E 4TH AVE
Practice Address - Street 2:330
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-8735
Practice Address - Country:US
Practice Address - Phone:720-207-5041
Practice Address - Fax:720-222-0739
Is Sole Proprietor?:No
Enumeration Date:2014-10-01
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5237101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral