Individual provider · Type 1 NPI

Raven Banning

Community/Behavioral Health Agency · Timnath, CO

NPI number 1174469704 Active

Practice location

1336 Waterfall St
Timnath, CO 80547-4445

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1174469704

Raven Banning's National Provider Identifier is 1174469704, issued on Apr 27, 2026. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Timnath, CO. The record was last updated on Apr 27, 2026.