Provider Demographics
NPI:1366212573
Name:WHITE, TAWNIA SUE (RECOVERY PEER COACH)
Entity type:Individual
Prefix:
First Name:TAWNIA
Middle Name:SUE
Last Name:WHITE
Suffix:
Gender:F
Credentials:RECOVERY PEER COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7876 W GLASGOW PL
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-4846
Mailing Address - Country:US
Mailing Address - Phone:303-903-6513
Mailing Address - Fax:303-830-2524
Practice Address - Street 1:191 E ORCHARD RD STE A
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80121-8055
Practice Address - Country:US
Practice Address - Phone:303-830-2064
Practice Address - Fax:303-830-2524
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist