Ellis, Dawaune Latiefth

Ellis, Dawaune Latiefth is an individual health care provider with primary practice located at 2323 S Troy St , Aurora CO 80014-1946. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Ellis, Dawaune Latiefth can be contacted via phone (720) 882-2421.

Contact Information

Primary practice address
2323 S Troy St Aurora CO 80014-1946
Phone: (720) 882-2421
Fax: (720) 882-2421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1568992741
LBN Legal business name Ellis, Dawaune Latiefth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2017
Last updated Aug 9th, 2022 - about 2 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 1568992741 NPPES
Colorado MEDICAID 920653694

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