Provider Demographics
NPI: | 1902572456 |
---|---|
Name: | CENTER FOR VALUED LIVING PLLC |
Entity type: | Organization |
Organization Name: | CENTER FOR VALUED LIVING PLLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OFFICE MANAGER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ALYSSA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | GRIFFITHS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 720-347-8559 |
Mailing Address - Street 1: | 2620 S PARKER RD STE 185 |
Mailing Address - Street 2: | |
Mailing Address - City: | AURORA |
Mailing Address - State: | CO |
Mailing Address - Zip Code: | 80014-1626 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 720-347-8559 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 88 INVERNESS CIR E UNIT A207 |
Practice Address - Street 2: | |
Practice Address - City: | ENGLEWOOD |
Practice Address - State: | CO |
Practice Address - Zip Code: | 80112-5521 |
Practice Address - Country: | US |
Practice Address - Phone: | 720-347-8559 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | CENTER FOR VALUED LIVING PLLC |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2021-08-16 |
Last Update Date: | 2021-08-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |