Provider Demographics
NPI:1831419548
Name:DAVIS, ROBERT OMAR (BSW,CSACII)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:OMAR
Last Name:DAVIS
Suffix:
Gender:M
Credentials:BSW,CSACII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6507 S SANTA FE DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-2910
Mailing Address - Country:US
Mailing Address - Phone:303-730-0797
Mailing Address - Fax:303-797-9342
Practice Address - Street 1:6507 S SANTA FE DR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-2910
Practice Address - Country:US
Practice Address - Phone:303-730-0797
Practice Address - Fax:303-797-9342
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health