Reaven, Noah M

Reaven, Noah M is an individual health care provider with primary practice located at 10350 E Dakota Ave Ste B, Denver CO 80247-1314. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Reaven, Noah M can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
10350 E Dakota Ave Ste B Denver CO 80247-1314
Phone: (303) 338-4545
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 1222 Colorado
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1222 Colorado

Profile Details

NPI number 1982748687
LBN Legal business name Reaven, Noah M
Credentials LCP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Jun 23rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982748687 NPPES
Colorado MEDICAID 07012222
Colorado Other 004137

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