Provider Demographics
NPI:1902428154
Name:BEYENE, SELAMAWIT (MSW)
Entity Type:Individual
Prefix:MS
First Name:SELAMAWIT
Middle Name:
Last Name:BEYENE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 RACE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-2076
Mailing Address - Country:US
Mailing Address - Phone:303-250-0989
Mailing Address - Fax:303-265-9988
Practice Address - Street 1:5575 S SYCAMORE ST STE 108
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-1141
Practice Address - Country:US
Practice Address - Phone:303-250-0989
Practice Address - Fax:303-265-9989
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-11
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor